Job Description
Job Description
**Must live within 60 miles of Jackson, TN branch or Phoenix, AZ branch**
Join the Coram/CVS Health team as a Suspended Billing Rep and you will support the [Colorado or Tennessee] 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 Suspended Billing Rep 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 patients 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 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 patients 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
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
**Must live within 60 miles of Jackson, TN branch or Phoenix, AZ branch**
Join the Coram/CVS Health team as a Suspended Billing Rep and you will support the [Colorado or Tennessee] 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 Suspended Billing Rep 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 patients 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 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 patients 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
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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