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Medical Billing Representative, Revenue Cycle
CVS Health. Create and submit medical claims to insurance companies within timely filing requirements and payer guidelines using preferred billing methods, including 837, websites, spreadsheets, and CMS-1500 .
Posted 10/20/2026full-timeMonroeville • Pennsylvania • United StatesJunior💰 $17 - $28 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical claims processing, including submission and validation of claims, while ensuring compliance with payer guidelines and regulations. Proficient in utilizing Microsoft Office tools to maintain accurate records and communicate effectively with patients and providers.
Highest-signal resume keywords
Healthcare Insurance ExperienceInsurance Billing ExperienceMicrosoft Excel ProficiencyAttention To DetailCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Claims SubmissionClaim ValidationBilling MethodsInsurance Problem ResolutionChronological Notes MaintenanceAR/CVS Systems ManagementProvider Portal ResearchBilling Documentation Accuracy
Soft Skills
Multitasking AbilityProfessional CommunicationProblem Solving Skills
Tools & Technologies
Microsoft OfficeExcelOutlookWord
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Payer GuidelinesTimely Filing RequirementsHealthcare ComplianceCollections Team Collaboration
About the role
Key responsibilities & impact- Create and submit medical claims to insurance companies within timely filing requirements and payer guidelines using preferred billing methods, including 837, websites, spreadsheets, and CMS-1500
- Validate coverage and eligibility prior to claim billing
- Resolve insurance problems and patient issues resulting from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors
- Maintain supporting chronological notes detailing actions taken to resolve billing edits
- Maintain updated information in necessary AR/CVS systems according to company policy and compliance regulations
- Communicate with patients, providers, and insurance agents to resolve account issues
- Research information on provider portals
- Collaborate with the collections team to ensure payer guidelines are met
- Identify inaccuracies or inconsistencies in medical documentation and ensure precision
Requirements
What you’ll need- 1+ years Healthcare Insurance experience
- Experience using Microsoft Office products specifically Excel, Outlook and Word
- Must live within 1 hour of the Monroeville, PA office
- Verifiable High School Diploma or GED required
- Insurance billing or collections experience
- Customer service in a healthcare and team environment
- Attention to detail
- Ability to multitask and meet deadlines
- Ability to utilize problem solving skills
- Ability to communicate with clientele in a professional manner
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to the base pay range
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being