Medical Billing Specialist Job Vacancy in CVS Health Colorado – Latest Jobs in Colorado

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Company Name : CVS Health
Location : Colorado
Position : Medical Billing Specialist

Job Description : Become a part of our growing team at our Phoenix 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:

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

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

Salary Range
17.50-18.50

Required Qualifications
18+ months performing healthcare reimbursement, medical insurance billing or related work

1+ years working with Microsoft Office, specifically Excel, Outlook and Word

COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
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

Education
Verifiable High School diploma or GED is required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.

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