Billing Consultant

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

A Brief Overview
Follows processes to assist with revenue cycle management, compliance, and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.
What you will do

• Gathers and reviews client billing data, identifies discrepancies, and suggests enhancements to streamline operations and improve efficiency and cost savings.
• Communicates with cross-functional teams such as finance, IT, and operations, to develop and implement process improvements related to premium billing.
• Collects money, finalizes dues, and ensures appropriate allocation across benefits structure.
• Ensures compliance with applicable healthcare regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA).
• Confers with legal and compliance teams to address any regulatory concerns.
• Collaborates with internal teams and external stakeholders to address customer inquiries, resolve billing discrepancies, and provide exceptional customer service.
• Determines appropriate treatment of overdue accounts and coordinates collection and cancellation of overdue customers.
• Documents all customer correspondence and maintains confidential records of patient information.

Required Qualifications

• 2+ years of customer service specifically in accounts receivable.
• Excel knowledge and other Microsoft applications.
• Adaptability Skills.

Preferred Qualifications

• Prior billing/collections.
• Associates/Bachelor’s Degree preferred.

Education

• High School Diploma or equivalent work experience.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 – 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 https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.