Insurance AR Resolution Analyst, Revenue Cycle

Job not on LinkedIn

🔥 59 minutes ago

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

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

💵 $43.9k - $102.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 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

• Apply advanced analytical and statistical techniques to identify root causes of Third-Party payer issues • Validate data accuracy and completeness using SQL and internal reporting tools • Translate complex findings into clear, actionable recommendations for leadership • Collaborate cross-functionally to prevent recurrence of payer issues • Maintain regular and predictable attendance and perform additional duties within role scope

🎯 Requirements

• Knowledge of Third Party Revenue Cycle operations, payer behavior, and liability resolution • Skill in Advanced analytical and root cause diagnosis techniques • Solid working knowledge of all MS Operating Systems and MS Office applications (MS Word, Excel, Access, PowerPoint), and process mapping software such as Microsoft Project and Visio • SQL and data-mining tools to validate and reconcile financial data • Familiarity with MicroStrategy, SQL, and other data mining tools • Developing leadership-ready documentation and recommendations • Ability to independently evaluate complex problems and recommend effective solutions • Ability to influence decisions through data-driven insights rather than authority • Ability to prioritize and organize work to accurately complete projects or assignments on schedule • Ability to work individually or with a team to systematically identify and define problems, evaluate alternatives and implement practical, cost-effective solutions • Ability to frame recommendations and formally present them to management • Ability to work with sensitive financial and patient data in compliance with HIPAA • Ability to maintain excellent verbal and written communication skills and to interact professionally with a diverse group -directors, managers, colleagues, and external entities • Ability to work in strict confidence, always ensuring the confidentiality of the patient and medical and financial records, in compliance with company and HIPAA Privacy guidelines • Ability to operate effectively in ambiguous or evolving environments.

🏖️ Benefits

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