CVS Health Job - 31034591 | CareerArc
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Company: CVS Health
Location: Allentown, PA
Career Level: Associate
Industries: Retail, Wholesale, Apparel


Job Description
Omnicare,Inc. is a wholly owned subsidiary of CVS Health corporation.

What We Do

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

The work schedule is: Monday - Friday 8:30 am to 5 pm

• Ensure that census paperwork is received from the Nursing facility
• Ensure that the census is entered into the operating system accurately and is valid coverage
• Review paperwork and verify completeness and of intake process focusing on payer verification and selection
• Ensure effective coordination and communication between the local pharmacy and the Central Billing Center
• Ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers
• Work Medicaid Pending reports from i-Astral and the operating system to ensure timely application of Medicaid coverage. Improve account identification on Medicaid Application Pending (MAP)
• Participate in training session or conference calls

Required Qualifications
• 6-12 months of long term care pharmacy billing experience
• Basic knowledge of insurance procedures
• Ability to work in a fast paced, rapidly changing environment
• Excellent verbal and written communication as well as listening skills
• Intermediate computer and typing skills

Preferred Qualifications
• Healthcare industry experience
• Minimum of 1-3 years of experience working in an office/business setting
• Prescription third party claims management experience

• High School Diploma or equivalent

Business Overview
It's a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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