CVS Health Medical Billing Specialist in Rancho Cordova, California

Job Description

As a Medical Billing Specialist for our Infusion AccountsReceivable (A/R) Department, you will be responsible for completing PatientFinancial Services (PFS) tasks such as billing and/or accounts receivablefollow-up with payers and maintaining quality and productivity requirements asoutlined in the position performance expectations. You will process and submitaccurate and timely claims to payers, analyze and research unpaid claims, andassist in the resolution of denials, partial payments, and payment variances.

Additional responsibilities of the Medical BillingSpecialist include:

  • Maintain and release all-ship-verified claims for allthird party claim (commercial or government) accounts within established timeframe as assigned

  • Resolve errors and make claim edits assigned in workqueues

  • Follow work list prioritization of accounts as establishedby department policies and procedures for resolving accounts and/or submittingclaims

  • Contact payers and patients when necessary for PFS processes

  • Request relevant information from appropriate RevenueCycle and clinical departments as required through the course of the PFSprocesses

  • Make necessary adjustments to patient demographic,insurance, and account balance information

  • Complete A/R adjustments where permitted and appropriate;request other adjustments where permitted and appropriate

  • Comply with and adhere to all regulatory compliance areas,policies and procedures (including HIPAA and PCI compliance requirements), and"leading practices"

Required Qualifications

  • 1+ years performing healthcare reimbursement or medical

insurance billing

  • 1+ years working with Microsoft Office, specifically

Excel, Outlook and Word

Preferred Qualifications

  • Prior related healthcare Revenue Cycle experience,

preferably within Collections and Billing

  • Knowledge of healthcare billing, collections practices,

and/or infusion service

  • Exceptional communication, customer service skills, and

phone etiquette


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EN-US;mso-bidi-language:AR-SA">- Familiarity with customer service

expectations, computer processing, and medical and billing office


High School Diploma/GED required

Business Overview

Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at and EEO IS THE LAW SUPPLEMENT at

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health at

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: