Medicare Part B Operations Coordinator, Revenue Cycle

Job not on LinkedIn

🔥 22 hours ago

🥔 Idaho, Rhode Island, +1 more states – Remote

🥔 Idaho – Remote ⚓ Rhode Island – Remote 🍁 Vermont – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

💹 Revenue Operations

🚫👨‍🎓 No degree required

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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

• supporting end to end Medicare Part B claims processing activities • ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission • assist with initiatives to collect and validate prescriber documentation in accordance with CMS guidelines • maintain and manage a centralized repository of prescriber documentation and leveraging this data to identify actionable claim volume in alignment with established Standard Operating Procedures

🎯 Requirements

• 1+ years (retail pharmacy, PBM, account management) • 1+ years of professional MS Excel and Access experience • Strong organizational and diagnostic skills with attention to detail, accuracy and follow through • Demonstrated ability to communicate clearly, accurately and professionally across verbal, written, and phone interactions with internal and external stakeholders • Rhode Island Pharmacy Technician License (Tech II) • CPhT Certification by PTCB • Verifiable High School Diploma or GED required • Associate’s Degree preferred

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility