Pharmacy Technician- Billing Adjudicator

CVS Health - Des Plaines, IL3.4

Full-time
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Omnicare, Inc. is a wholly owned subsidiary of CVSHealth Corporation. www.cvshealth.com

What We Do

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been Omnicare's specialty, we also serve other targeted populations.

Overview: A Billing Adjudicator is responsible for preparing and submitting claims for accounts and works with nursing facility staff, physician offices, and insurance companies to ensure timely payment of online submission of claims.

Key Responsibilities:
  • Review and research Third-Party claims, taking appropriate action to resolve.
  • Work backlog of denied claims for timely re-submission. -Manage assigned queues, keeping up-to-date and current on all claims.
  • Workflow grid is cleared daily to meet productivity criteria -Specific denials, including new patient overrides
  • Follow all applicable government regulations, including HIPAA
  • Display behavior which exemplifies the Core Values
  • Other duties as deemed necessary
Shift: M-F 7:00am-4:30pm , with alternating weekends/holidays

Required Qualifications
  • High School Diploma or Equivalent
  • Entry-level familiarity with Excel/Access
  • Perform multiple tasks effectively
  • Able to work both independently and as part of a team
Preferred Qualifications
  • Pharmacy technician certification highly preferred
  • Experience in pharmacy, managed care, Medicaid and/or Medicare organizations preferred
Education
High School Diploma or GED

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.