Billing Premium Consultant - Remote

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.

Position Summary
Under supervision of the Billing Manager, the Billing Administrator is responsible for the processing and distribution of the monthly premium invoices. The Billing Administrator must review invoices for reasonability and accuracy and make any necessary adjustments in the billing system. Must work Hybrid schedule, 3 days in Amherst, NY. office.

The Billing Administrator is responsible for identifying, investigating and resolving billing discrepancies related to product pricing, volumes, and account setup using various computer billing systems.

• Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with monthly invoices before distribution to the clients. (30%)
• Investigate incoming customer and client relations billing inquiries defining appropriate response and/or determining appropriate escalation to bring inquiry to an accurate and timely resolution. (30%)
• Investigate and resolve any billing discrepancies and assist the Billing Manager/Supervisor in analyzing monthly billing variances (20%)
• Load new rates and specific coding relevant to the group plan and products sold. This set up information is critical for the import process from billing to accounts receivable/payable to ensure accurate and efficient revenue reporting and vendor payments (10%)
• Process administrative claims to collect payment for monthly administrative invoices (5%) - Complete projects distributed by management as needed (5%)

Required Qualifications

• 1+ year Microsoft Excel and Outlook experience.
• 6+ months Billing experience.
• 6+ months of customer service experience in a healthcare environment.
• Intermediate math skills (add, subtract, multiply, divide, percentages, ratio's, formulas etc.).
• Strong written and verbal communication skills.
• Problem solving and teamwork skills.
• Must work Hybrid schedule, 3 days in office.

Preferred Qualifications

• Experience in Bookkeeping, Accounting, Finance or related field.
• Associates Degree or higher preferred.

Education
High School diploma OR G.E.D. equivalent

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.