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Billing Representative
Billing Representative-July 2024
Work At Home
Jul 12, 2025
ABOUT CVS HEALTH
CVS Health is a healthcare innovation company. Together, we are helping people on their path to better health.
10,000+ employees
Healthcare
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About Billing Representative

  Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

  Position Summary The Data Entry - Billing Claims Representative is responsible for the billing coordination of patients with payors that have unique qualifications and billing requirements for NCPDP related claims and ensuring prescription drug dispenses are adjudicated successfully for payer claim approval prior to delivery of medication without delay in patient care. Medical Billers collaborate with NCPDP Specialists to seek payer override of denied claims and assist pharmacies to plan future shipments that prevent denials. PRIMARY DUTIES AND RESPONSIBILITIES: Responsibilities 1. Performs the billing of medications and or services as required for each subsequent dispense as outlined by the payor requirements. 2. Maintains the medical record in ECM with scanning results of each adjudication performed; and in HC360 through progress note entry. 3. Communicates the patient co-payment or patient financial responsibility to dispensing pharmacy. 4. Contacts payers as required in order to resolve rejected NCPDP claims and performs data entry into HC360 as required. 5. Performs data entry to complete the patient registration and adjudication in software application (CE2000). 6. Performs other duties and responsibilities as assigned. Typical work hours for this position are Monday – Friday, rotating between 10:30 AM – 7:00 PM CST. This is a full-time career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits. Partner with Coram/CVS Health and you'll have an exciting opportunity to utilize your healthcare training and customer services skills to provide specialty infusion services administered to patients in their homes. In this role, you will partner with a team who are passionate about making a difference in patient’s lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life! Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word “Coram” derives from the Latin word “cor,” meaning “heart”... and our dedication to our customers is truly from the heart. Do you want to learn more? Check out the videos 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 accounts receivable. - Minimum one year of experience working with healthcare reimbursement systems. - Excellent customer service orientation. - Attention to details and excellent time management skills. - Proficiency in Microsoft Office software – Word, Excel, and PowerPoint. Preferred Qualifications 2+ years experience in medical billing Education

  High School diploma or GED is required

  Pay Range

  The typical pay range for this role is:

  $17.00 - $29.88

  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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

  CVS 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.

  CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

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