Billing Premium Consultant - Remote

Billing Premium Consultant

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.

Under supervision of the Billing Manager, the Billing Premium Consultant is responsible for the processing and distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments in the billing system. The Billing Premium Consultant 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. 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. Investigate and resolve any billing discrepancies and assist the Billing Manager / Supervisor in analyzing monthly billing variances. 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. Process administrative claims to collect payment for monthly administrative invoices. Complete projects distributed by management as needed.

Required Qualifications :

• 1+ year Microsoft Excel and Outlook experience.
• 6+ months Billing experience.
• 6+ months of customer service experience in a healthcare environment.
• Intermediate math skills (add, subtract, multiply, divide, percentages, ratio's, formulas etc.).
• Strong written and verbal communication skills.
• Problem solving and teamwork skills.

Preferred Qualifications :

Education :

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $17.00 - $34.15. 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people. We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

We anticipate the application window for this opening will close on : 11 / 19 / 2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 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.