Private Pay Billing Specialist (Omnicare)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation.

The Private Pay Billing Specialist is responsible for ensuring accurate and timely billing for Omnicare private pay customers. This role supports the full billing lifecycle, including pre-billing activities, invoice generation, and post-billing account resolution. The Specialist works collaboratively with Customer Service and other cross-functional partners to research and resolve billing concerns while delivering an exceptional customer experience.

The ideal candidate is detail-oriented, analytical, customer-focused, and comfortable navigating multiple systems in a fast-paced environment. This position requires strong communication skills, professionalism, patience, and a commitment to maintaining the highest standards of accuracy and confidentiality when handling sensitive patient information.

This is a fully remote position, and qualified candidates must have a dedicated and private work station to support customer confidentiality.

Key Responsibilities

• Support the full private pay billing lifecycle, including pre-billing, invoice generation, and post-billing activities.
• Research and update patient insurance information to ensure accurate claim submission and billing.
• Review accounts to identify and resolve billing discrepancies.
• Support weekly invoice generation activities, including account validation, Accounts Receivable reconciliation, and invoice quality reviews.
• Process account corrections through rebilling and adjustment procedures as needed.
• Partner closely with Customer Service to research and resolve customer concerns while delivering a positive customer experience.
• Collaborate with internal business partners to resolve account issues and improve billing accuracy.
• Maintain accurate documentation and ensure compliance with company policies, HIPAA requirements, and data privacy standards.
• Participate in process improvement initiatives and support operational goals related to quality, productivity, and customer satisfaction.

Required Qualifications

• 1+ year of experience in healthcare billing, including a knowledge of Medicare, Medicaid, and private insurance billing processes.
• Demonstrated proficiency with Microsoft Office applications, including Outlook and Excel.

Preferred Qualifications

• Experience with LTC (long-term care) billing, pharmacy billing, or revenue cycle operations.
• Experience using ServiceNow or similar case management tools.
• Familiarity with Omnicare operating systems, Oasis, and/or DX platforms.
• Experience working in a remote customer service or billing environment.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and commitment to accuracy.
• Ability to prioritize multiple tasks and meet deadlines in a high-volume environment.
• Strong verbal and written communication skills.
• Demonstrated professionalism and patience when addressing customer concerns and complex billing situations.
• Ability to learn and navigate multiple systems and applications efficiently.

Education

• High school diploma or GED.

Remote Work Requirements

This position is 100% remote. To be successful in this role, employees must maintain:

• A dedicated, professional workspace free from distractions.
• A quiet work environment suitable for conducting business-related conversations and virtual meetings.
• Reliable internet connectivity that supports remote work requirements.
• Compliance with all company security, privacy, and data protection policies.

Because this role regularly accesses Protected Health Information (PHI) and other confidential customer information, employees must maintain privacy and confidentiality at all times and adhere to all HIPAA and company security requirements.

Why Join the Private Pay Billing Team?

The Private Pay Billing Team plays a critical role in ensuring our customers receive accurate and timely invoices while delivering exceptional customer service. …