Medical Collections Specialist (Remote)

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary As a Collector, you play an integral role in delivering cost effective solutions for our patients by working with insurance companies to resolve issues associated with our patients’ insurance claims. To be successful in this role you will utilize you will utilize home infusion... software, payer portals and other systems, and your critical thinking skills to ensure a high quality of work. Role Overview Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start) Fully Remote What you will do Ensure timely follow-up on all patient accounts; Including escalating payer trending concerns to leadership and timely communication with external departments; Work with payers to ensure proper reimbursement on patient accounts, identify and prepare adjustments and write-offs; Correct and resubmit claims (subject to policy); Follow-up on daily correspondence (denials, short-pays); Interface wit insurance companies via phone and web portal to check claim status, submit written correspondence to payers and patients Interpret contracts with payers to ensure proper payment; send initial or secondary bills to insurance companies; Process refunds and work to overturn insurance claim rejections while maintaining quality and productivity requirements. Required Qualifications 1+ years of work experience in revenue cycle operations (eg: billing, collections, credits, cash posting etc.) 1+ years of experience in a professional environment 1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel Preferred Qualifications Home infusion or durable medical equipment (DME) experience Strong attention to detail with a sense of urgency; customer service skills Ability to work in a team environment Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR); experience with healthcare reimbursement systems. Education Verifiable High School Diploma or GED is required. Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | CVS Health We anticipate the application window for this opening will close on: 10/08/2024 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area

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