Insurance Collections Coordinator - Orlando, FL (Hybrid)

Orlando, Florida, United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy, InsuranceIndustries

Requirements

Candidates must possess a verifiable High School Diploma or GED and have at least 1 year of healthcare insurance-related experience. Proficiency in Microsoft Office Suite (Excel, Outlook, Word) is required, along with the ability to commute to the Orlando, FL office. Preferred qualifications include insurance billing or collections experience, customer service in a healthcare setting, experience with healthcare reimbursement systems, strong analytical and multitasking skills, and excellent verbal and written communication abilities.

Responsibilities

The Insurance Collections Coordinator will perform third-party follow-up on prescription medication claims via telephone, internet, and written correspondence. This role involves following up on unpaid, recouped, and underpaid claims, resolving payment issues due to insurance problems, and maintaining detailed chronological notes of actions taken. The coordinator will also update patient demographic information, research and respond to insurance companies and governmental payers regarding collection issues, and contact patients and physician offices as needed to expedite claims processing.

Skills

Insurance Follow-up

Collections

Accounts Receivable

Customer Service

Data Entry

Problem-Solving

Communication

Research

Microsoft Office Suite

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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