full time hr

Job Details

Job Description
Omnicare, Inc. (a wholly owned subsidiary of CVS Health) is hiring for a Benefits Representative! This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

The Benefits Representative will: ensure that census paperwork is received from the Nursing facility, ensure that the census is entered into the operating system accurately and is valid coverage, review paperwork and verify completeness and of intake process focusing on payer verification and selection. They will also ensure effective coordination and communication between the local pharmacy and the Central Billing Center, ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers and work Medicaid Pending reports from i-Astral and the operating system to ensure timely application of Medicaid coverage.

The Benefits Representative will also improve... account identification on Medicaid Application Pending (MAP), work and partner with other internal departments to resolve issues, participate in training session or conference calls to further C2W ADT management knowledge, ensure C2W ADT Workflow grid is cleared daily for all assigned facilities, follow all applicable government regulations including HIPAA, and participate in projects and/or meeting as designated by management. Other duties as assigned; job duties may vary by location.

Hours are Monday - Friday from 8:30am - 5pm. This is a remote position, which will require a dedicated work space and high speed internet.

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.  In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Our application process is 2 simple steps.

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Required Qualifications

  • 6+ months of experience working in an office setting
  • 6 + months of experience with one of the following: medical insurance, benefits verification, medical billing, pharmacy, or other healthcare related experience
  • Intermediate computer and typing skills

Preferred Qualifications

  • Prescription third party claims management experience
  • Long term care pharmacy billing experience.

Education

  • High school diploma or equivalent.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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

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