Medical Billing Representative, Revenue Cycle (Hybrid)
Core
Full-time Medical Billing Representative ensuring timely and accurate billing for outstanding claims for CVS Health Specialty Pharmacy.
Role type
Medical Billing Representative
Builds
Medical claims and reimbursement processes for insurance providers
Domain
Healthcare / Insurance Billing
Required skills
Medical claims submission, Insurance eligibility validation, Payer guidelines knowledge, Microsoft Office (Excel, Outlook, Word), AR system management, Medical documentation review
Preferred skills
Insurance billing or collections experience, Healthcare customer service, Multitasking, Problem solving
Technologies
837, CMS-1500, Microsoft Office, CVS AR systems
Responsibilities
Create and submit medical claims to insurance companies, Validate coverage and eligibility prior to billing, Resolve insurance and patient issues, Maintain supporting notes for billing edits, Research information on provider portals, Collaborate with collections team
Seniority
Entry-level to Mid-level, hands-on IC