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Member Billing Senior Coordinator at CVS Health - ApplyBlast

Member Billing Senior Coordinator

CVS Health

20 days ago

3.2 on Glassdoor

Scottsdale, Arizona, United States

Hybrid

Full Time

Senior

0 applicants

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About this role

The Member Billing Senior Coordinator supports accurate and compliant processing of member premium billing across PBM Financial Operations, handling tasks such as autopay enrollment, payment posting, and member inquiries. The role involves resolving complex billing issues, performing quality reviews, and ensuring adherence to CMS Medicare Part D requirements. This position offers opportunities for professional growth within Financial Operations and requires strong attention to detail and effective communication.

Responsibilities

Process member premium billing and resolve payment exceptions
Perform quality reviews and reconcile SSA and RRB premium withholding
Support dunning cycles and process refunds in compliance with CMS guidance

Skills

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.