Position Summary: Join the Coram/CVS Health team as a Billing Documentation Specialist and you will support the Colorado Enteral Nutrition Center by performing timely reimbursement follow-up on patient accounts. Ensure that patient accounts do not go into a suspended billing status, potentially resulting in outside account collections. Partner with our billing centers to ensure that patient accounts are updated and all information is on file in order to be able to process the claim. This is not a medical billing position.
As a Billing Documentation Specialist you will…
* Follow-up on outstanding Certificates of Medical Necessity (CMN), Letters of Medical Necessity (LMN), prescriptions, renewals, expiring authorizations and other missing medical documentation to ensure that a patient’s account does not go into a suspended status.
* Enter prescription information into a database once received by a physician and escalate any aged prescriptions to the manager for resolution.
* Update insurance providers when a change to a patient account has occurred and work with the insurance company to obtain new authorizations for service.
* Communicate with patients, physicians and insurance companies to update them on status, orders and missing documentation.
This position is located in a call-center environment where you will need to take incoming calls from patients or insurance companies regarding billing issues.
This is a full-time, permanent, benefited position and is NOT through an agency. Typical work hours for this role are Monday – Friday, 8:30AM – 5:00PM, with an opportunity for over-time per business need.
Challenge your healthcare training or current billing knowledge and customer services skills to make a difference in a patient’s life by ensuring all supporting documentation has been completed and submitted to insurance companies for proper processing and payment. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.
Coram CVS/specialty infusion services is a Fortune 7 company and national leader in the home infusion and enteral fields. This is uniquely rewarding opportunity putting your skills and experiences to work supporting an innovative specialty pharmacy operation.
Learn more about us:
https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos
Required Qualifications: * Experience medical billing or collections work or experience working with accounts payable (A/P) or accounts receivable (A/R).
* Experience working in a customer service environment.
* Experience working in a healthcare environment.
* Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Preferred Qualifications: * Strong data entry skills; typing speed of 50+ WPM (words per minute).
* Home infusion, enteral or durable medical equipment (DME) experience.
* Call center experience.
Education:Verifiable High School diploma or GED is required.Business Overview:
Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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
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For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/