Be part of our growing team at our Orlando facility! As a Medical Billing Specialist for our Infusion Accounts Receivable (A/R) Department, you will be responsible for completing Patient Financial Services (PFS) tasks such as billing and/or accounts receivable follow-up with payers and maintaining quality and productivity requirements as outlined in the position performance expectations. You will process and submit accurate and timely claims to payers, analyze and research unpaid claims, and assist in the resolution of denials, partial payments, and payment variances.
Additional responsibilities of the Medical Billing Specialist include:
Verify, Maintain and release all-ship-verified claims for all third party claim (commercial or government) accounts within established time frame as assigned
Resolve errors and make claim edits assigned in work queues
Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims
Contact payers and patients when necessary for PFS processes
Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS processes
Understanding CPT, ICD-10 and HCPCS code.
Make necessary adjustments to patient demographic, insurance, and account balance information
Complete A/R adjustments where permitted and appropriate; request other adjustments where permitted and appropriate
Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"
1+ years performing healthcare reimbursement or medical insurance billing
1+ years working with Microsoft Office, specifically Excel, Outlook and Word
Prior related healthcare Revenue Cycle experience, preferably within Collections and Billing
Knowledge of healthcare billing, collections practices, and/or infusion service
Exceptional communication, customer service skills, and phone etiquette
Familiarity with customer service expectations, computer processing, and medical and billing office terminology
Verifiable High School diploma or GED is required.
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. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.
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.
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