Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.

What you will do

• Monitors the revenue cycle process to ensure efficient and effective revenue capture and financial performance.
• Identifies opportunities for process improvement within the revenue cycle.
• Analyzes current workflows to identify bottlenecks or inefficiencies, and implements strategies to streamline processes, reduce errors, and enhance revenue cycle outcomes.
• Collaborates with stakeholders to implement new technology, develop standardized procedures, and train staff on best practices.
• Maintains compliance with regulatory requirements and billing regulations for healthcare revenue cycle management.
• Audits process to ensure adherence to applicable regulations such as HIPAA, CMS guidelines, and coding and billing standards.
• Encourages and supports a culture of innovation, experimentation, and creative problem-solving among the team.
• Monitors and analyzes financial performance related to the revenue cycle and reports the financial performance of the clinical departments.
• Sets individual performance goals and helps to fosters a culture of continuous improvement and accountability.

Required Qualifications
MS Office Suite

Preferred Qualifications
1+ years Account Receivable experience

1+ years Pharmacy and/or Medical claims knowledge

Education
High School Diploma or General Equivalent Development (GED)

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/07/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.