Pharmacy Insurance Collections Coordinator - ...

Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger u2013 helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Insurance Collections Coordinator. As a Pharmacy Insurance Collections Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will review requests for claim reconciliation and process appropriate adjustments. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. Located in the Monroeville Facility, this opportunity also provides free parking. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment. Role Overview + Hybrid Role + Shift: Monday-Friday, 8:00AM-4:30PM EST (Flex Start) + Training: First 2-3 weeks of employment. What you will do + Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer. + Transmit or submit claims (paper/electronic) to insurance payors for reimbursement. + Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors. + Maintain supporting and chronological notes that detail action taken to resolve billing edits. + Maintain patient demographic and insurance information and data collections systems, including all billing reports, work queues, or diversions according to payer and company policy guidelines. + Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing. + Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims. + Process adjustments based information provided in work queues or requests submitted through other areas in the organization. Required Qualifications + 1 year of Healthcare Insurance Billing or related experience. + Experience using Microsoft Office products specifically Excel, Outlook and Word. + Must live within a 1 hour commute from Monroeville, PA. 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. + Ability to utilize analytical skills. + Ability to communicate with clientele in a professional manner; both verbally and written. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits u2013 investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . + No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.

Created: 2026-01-26