Medical Billing Specialist

Job DescriptionIn this role, you will support our Accounts Receivable (A/R) Department with various A/R functions for Specialty Infusion. You will handle the completion of Patient Financial Services (PFS) tasks, including patient and payer follow up as needed. The PFS tasks you will complete include billing and/or accounts receivable follow-up while maintaining quality and productivity requirements. You will build and submit accurate and timely claims to payers, as well as research and analyze unpaid claims. You will be assisting in the resolution of denials, partial payments, and payment variances.Required Qualifications18 months of experience in healthcare reimbursement, medical billing, collections or claims processing.1+ years working with Microsoft office, specifically Excel, Outlook and Word.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications-Demonstrated experience working with third parties or health insurance payers.-Comfortable crafting professional communications (emails, appeals letters, requests for information) to insurance companies and following through for resolution.EducationVerifiable High School diploma or GED is required.Business OverviewAt CVS Health, 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.

Created: 2025-09-06