Medical Insurance Collections Coordinator

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary 

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Insurance Collections Coordinator to handle insurance follow up. The Insurance Collections Coordinator will ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.  

We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. 

Located in the Monroeville facility, this opportunity also provides free parking. 

Key Responsibilities of the Insurance Collections Coordinator: 

• Third party follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing. 

• Follow-up on unpaid, recouped payments, and underpaid claims 

• Resolve issues with nonpayment of invoices due to insurance problems that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors. 

• Maintain supporting chronological notes that detail action taken to resolve outstanding account balances. 

• Maintain patient demographic information and data collection systems. 

• Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding collection issues and problems. 

• Contact patients and Physician’s offices as well as insurance companies as needed in order to expedite claims processing. 

Required Qualifications 

• 1+ years of Healthcare Insurance related experience. 

• Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.  

• Must be able to commute to the Monroeville, PA office.  

Preferred Qualifications 

• Insurance billing or collections experience. 

• Customer service in a healthcare environment. 

• Experience working in a healthcare reimbursement system. 

• Effective customer service skills and experience that shows ability to work in a team environment. 

• Attention to detail.