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CVS Health Billing Premium Consultant in Amherst, New York

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 SummaryUnder 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.

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

  • Microsoft Excel and Outlook experience

  • Strong written and verbal communication skills

  • Problem solving and teamwork skills

  • Customer service experience

  • Intermediate math skills (add, subtract, multiply, divide, percentages, ratio's, formulas etc.)

Preferred Qualifications

  • Billing experience

  • Experience in Bookkeeping, Accounting, Finance or related field

  • Associates Degree or higher preferred

EducationHigh School diploma OR G.E.D. equivalent

Pay Range

The typical pay range for this role is:

$17.00 - $28.45

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

We anticipate the application window for this opening will close on: 05/27/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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