Medicare Part B Operations Coordinator, Revenue Cycle

Job not on LinkedIn

🔥 37 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

⚙️ 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 • Ensuring compliance with Centers for Medicare and Medicaid Services (CMS) requirements • Facilitating accurate claim processing and submission • Supporting the Revenue Cycle Team’s objective of timely and accurate billing of pharmacy and medical claims to third party insurers • Assisting with initiatives to collect and validate prescriber documentation in accordance with CMS guidelines • Managing a centralized repository of prescriber documentation and leveraging this data to identify actionable claim volume

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