Job Description
The Data Entry – Billing Claims Representative is accountable for the billing coordination of clients with payors that have distinct certifications and billing requirements for NCPDP associated claims and making sure prescription drug dispenses are adjudicated effectively for payer claim approval prior to shipment of medication without hold-up in client care. Medical Billers team up with NCPDP Specialists to look for payer override of rejected claims and help drug stores to prepare future deliveries that avoid rejections.
PRIMARY DUTIES AND RESPONSIBILITIES:
Responsibilities
1. Carries out the billing of medications and or services as needed for each subsequent give as laid out by the payor requirements.
2. Keeps the medical record in ECM with scanning outcomes of each adjudication carried out; and in HC360 through development note entry.
3. Interacts the client co-payment or client monetary obligation to giving drug store.
4. Contacts payers as needed in order to fix turned down NCPDP claims and carries out information entry into HC360 as needed.
5. Carries out information entry to finish the client registration and adjudication in software application (CE2000).
6. Carries out other responsibilities and obligations as designated.
Typical work hours for this position are Monday– Friday, turning in between 10: 30 AM– 7: 00 PM CST. This is a full-time profession that uses exceptional Medical, Dental and Vision protection, a competitive 401 k, and fringe benefits.
Partner with Coram/CVS Health and you’ll have an interesting chance to use your health care training and client service abilities to offer specialized infusion services administered to clients in their houses. In this function, you will partner with a group who are enthusiastic about making a distinction in client’s lives. You can have an effect by offering the very best care, education, and assistance to our clients, enhancing their general lifestyle!
Coram/CVS Health is a Fortune 5 business and nationwide leader in the house infusion and enteral nutrition fields. The word “Coram” stems from the Latin word “cor,” suggesting “heart” … and our devotion to our clients is really from the heart.
Do you wish to find out more? Take a look at the videos listed below!
https://www.youtube.com/user/CoramHealthcare or
https://www.youtube.com/user/CVSPharmacyVideos
Required Qualifications
– Minimum one year of experience in medical billing or collections, accounts payable, or balance dues.
– Minimum one year of experience dealing with health care compensation systems.
– Excellent customer support orientation.
– Attention to information and outstanding time management abilities.
– Proficiency in Microsoft Office software application– Word, Excel, and PowerPoint.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health needs its Colleagues in specific positions to be totally immunized versus COVID-19(consisting of any booster shots if needed), where allowed under the law, unless they are authorized for a sensible lodging based upon special needs, medical condition, pregnancy, or religion that avoids them from being immunized.
- If you are immunized, you are needed to have actually gotten a minimum of one COVID-19 shot prior to your very first day of work and to supply evidence of your vaccination status within the very first 30 days of your work. For the 2 COVID-19 shot program, you will be needed to offer evidence of your 2nd COVID-19 shot within the very first 60 days of your work. Failure to offer prompt evidence of your COVID-19 vaccination status will lead to the termination of your work with CVS Health.
- If you are not able to be completely immunized due to special needs, medical condition, pregnancy, or religion, you will be needed to obtain a sensible lodging within the very first 30 days of your work in order to stay utilized with CVS Health. As a part of this procedure, you will be needed to supply info or documents about the factor you can not be immunized. If your ask for a lodging is not authorized, then your work might be ended.
Preferred Qualifications
2 years experience in medical billing
Education
High School diploma or GED is needed
Business Overview
At Coram, a CVS Health company, we are participated a typical function: assisting individuals on their course to much better health. We are working to change healthcare through developments that make quality care more available, simpler to utilize, cheaper and patient-focused. Collaborating and arranging around the person, we are pioneering a brand-new method to overall health that puts individuals at the heart.
We aim to promote and sustain a culture of variety, addition and belonging every day. CVS Health is a level playing field and affirmative action company. We do not discriminate in recruiting, working with or promo based upon race, ethnic background, sex/gender, sexual preference, gender identity or expression, age, impairment or safeguarded veteran status or on any other basis or particular restricted by suitable federal, state, or regional law. We happily support and motivate individuals with military experience (active, veterans, reservists and National Guard) in addition to military partners to get CVS Health task chances.
CVS Health.
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