At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

POSITION SUMMARY

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Cash Posting and Reconciliation Specialist Coordinator to handle resolution of unapplied cash. The Cash Posting and Reconciliation Specialist Coordinator will ensure timely and accurate payment posting and unapplied cash resolution. As part of this team, you will work in a fast paced and team focused environment.
We will support you by offering all the tools and resources you need to be successful in a collaborative team environment.
Located in the Monroeville facility, this opportunity also provides free parking.

REQUIRED QUALIFICATIONS

• 1+ year Healthcare, Insurance, or banking related experience.
• Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.
• Must be able to commute to the Monroeville, PA office.

PREFERRED QUALIFICATIONS

• Cash posting experience in a healthcare environment.
• Understanding of explanation of benefits.
• Customer service in a healthcare environment.
• Experience working in a healthcare reimbursement system.
• Effective customer service skills and experience that shows ability to work in a team environment.
• Attention to detail.
• Ability to utilize analytical skills.
• Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail.
• Ability to communicate with clientele in a professional manner; both verbally and written.

EDUCATION

• Verifiable High School Diploma or GED required.

• Post payment exceptions from a worklist for payments that are not able to be matched through automation in the accounts receivable system to the appropriate charges to resolve debit and credit balances.
• Track and resolve forward balance transactions based on payer specific processes.
• Post payments to patient and insurance balances based on PDF remittance advices and check details received through the third-party banking system.
• Review cash inquiries submitted by collections teams, update cash posting when necessary, and provide detailed written responses regarding the inquiry resolution.
• Submit refund requests when needed.
• Research and respond to unapplied cash by telephone, via the internet and in writing to insurance companies and governmental payers.