Insurance AR Resolution Coordinator, Revenue Cycle

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🕒 May 24

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $17 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Analyze claim and payment exceptions to determine appropriate resolution steps • Research claims through payer portals or direct payer outreach using established guidelines • Accurately document actions taken and outcomes achieved • Escalate issues that fall outside of defined procedures with recommendations • Maintain regular and predictable attendance and meet productivity and quality standards • Handle sensitive financial and patient information in compliance with HIPAA and company policies • Perform additional related duties as assigned by management

🎯 Requirements

• Proficiency with Microsoft Office applications (Word, Excel, Outlook) • Strong attention to detail with the ability to manage routine, repeatable work accurately • Ability to follow documented procedures and guidelines • Effective written and verbal communication skills with internal and external partners • Ability to work independently within scope and escalate appropriately when issues require additional support • Strong organizational skills and ability to manage multiple tasks simultaneously • High School Diploma or General Equivalent Development (GED) required • Associates Degree preferred.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs