Medicare Part B Operations Supervisor, Revenue Cycle

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🕒 3 dias atrás

⚓ Rhode Island – Remoto

⚓ Rhode Island – Remote

💵 $43.888 - $102.081 / ano

⏰ Tempo Integral

🟢 Júnior

⚙️ Operações

🚫👨‍🎓 Sem graduação necessária

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

⚕️ Seguro de Saúde

🛒 Varejo

🧘 Bem-estar

Healthcare Insurance • Retail • Wellness

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Lead day-to-day team operations by monitoring productivity, quality, and performance in a high-volume revenue cycle environment. • Coach, mentor, and develop colleagues by providing guidance, support, and best-practice expertise on core responsibilities and escalations. • Create, maintain, and enhance job aids, workflows, and policy and procedure documentation to support consistency and compliance. • Generate and analyze reports to identify trends, improve performance, and support achievement of functional goals. • Drive tracking and trending efforts to resolve unbilled issues and ensure timelines and deliverables are met. • Build strong partnerships with internal and external stakeholders, including vendors, front-end operations, and payer relations teams, to promote compliance and operational success. • Hire, onboard, train, and retain top talent needed to meet performance goals and business objectives. • Manage key administrative leadership responsibilities, including payroll, timesheet review, interviewing, and performance management.

🎯 Requisitos

• 1+ year of experience in insurance billing, collections, accounts receivable, health plan claims processing or adjudication, or a related healthcare insurance field. • 1+ year of leadership experience with a demonstrated ability to guide team performance and support employee development. • Experience with Medicare Part B documentation verification, billing, and/or collections. • 3+ years of experience in insurance billing, collections, accounts receivable, health plan claims adjudication, or a related healthcare insurance field. • Proven ability to coach, develop, and inspire employees while setting meaningful team goals that drive performance. • Strong problem-solving skills with the ability to identify creative solutions and foster innovation within the team. • Exceptional organizational skills with the ability to prioritize effectively, manage multiple responsibilities, and deliver results. • Strong presentation, written, verbal, and interpersonal communication skills. • Advanced proficiency in Microsoft Office applications, particularly Excel. • Ability to interpret, translate, and analyze large data sets to support informed decision-making. • Rhode Island Pharmacy Technician License (Tech II) • CPhT Certification by PTCB • Education Verifiable High School Diploma or GED required • Associate’s Degree preferred

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs