Billing Representative – Data Entry Remote Jobs
Job Description
Job Type: Billing Representative from home
Location: Florida work from home
Company: CVS Health
In addition to making sure prescription drug dispenses are successfully adjudicated for payer claim approval prior to medication delivery without causing a delay in patient care, the Data Entry – Billing Claims Representative is in charge of billing patients and coordinating their bills with payors that have special qualifications and billing requirements for NCPDP-related claims. Medical billers work with NCPDP specialists to help pharmacies plan upcoming shipments that will avoid denials and to request payer override of denied claims.
Responsibilities:
- Completes the billing of prescription drugs and/or services in accordance with the payor standards for each subsequent dispense.
- Upholds the medical record by progress note input in HC360 and scanning outcomes of each adjudication done in ECM.
- Notifies the dispensing pharmacy of the patient’s copayment or financial obligation.
- Makes necessary contacts with payers to settle denied NCPDP claims and enters data into HC360 as needed.
- Enters data into the software application (CE2000) to finish the patient registration and adjudication process.
- Fulfills other tasks and obligations as designated.
This position’s normal workdays are Monday through Friday, with shifts from 10:30 AM to 7:00 PM CST. This full-time position includes competitive 401(k) and other benefits in addition to first-rate medical, dental, and vision coverage.
When you work with Coram/CVS Health, you’ll have the chance to put your expertise in customer service and healthcare training to use by offering patients in-home specialist infusion services. You will collaborate with a group of people in this position who are enthusiastic about improving the lives of their patients. By giving our patients the greatest treatment, guidance, and support possible, you can make a difference in their general quality of life!
Leading the nation in enteral nutrition and home infusion, Coram/CVS Health is a Fortune 5 firm. Since our commitment to our consumers actually comes from the heart, the name Coram is derived from the Latin word cor, which means heart.
Requirements:
Essential Requirements
- A minimum of one year’s experience in accounts payable, accounts receivable, or medical billing and collections.
- A minimum of one year’s experience with systems for healthcare reimbursement.
- Outstanding focus on customer service.
- Excellent time management and attention to detail.
- Proficiency with Word, Excel, and PowerPoint software from Microsoft Office.
Optimal Qualifications
- Two or more years of medical billing experience
Instruction
- A GED or high school diploma is necessary.