Medicare Part B Operations Coordinator, Revenue Cycle

Job not on LinkedIn

🕒 July 21

🏈 Alabama, Arizona, +38 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $17 - $34 / hour

⏰ Full Time

🟢 Junior

⚙️ Operations

🚫👨‍🎓 No degree required

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Support end-to-end Medicare Part B claims processing activities • Facilitate accurate claim processing and submission, including manual intervention through prescriber outreach and documentation review • Support the Revenue Cycle Team’s timely and accurate billing of pharmacy and medical claims to third-party insurers • Support efforts to reduce bad debt, mitigate legal risk, and ensure compliance with federal, state, and CVS Health requirements • Collect and validate prescriber documentation in accordance with CMS guidelines • Conduct prescriber outreach via fax and phone • Maintain and manage a centralized repository of prescriber documentation • Leverage documentation data to identify actionable claim volume in alignment with established Standard Operating Procedures

🎯 Requirements

• 1+ years of experience in retail pharmacy, PBM, or account management • 1+ years of professional MS Excel and Access experience • Strong organizational and diagnostic skills with attention to detail, accuracy and follow through • Ability to communicate clearly, accurately and professionally across verbal, written, and phone interactions with internal and external stakeholders • Experience with Medicare Part B documentation verification, billing and/or collections • Ability to make sound business decisions independently and collaboratively • Ability to work effectively both independently and within a team • Flexibility to adapt in a dynamic environment • Ability to maintain strict confidentiality in compliance with company standards and HIPAA guidelines • Rhode Island Pharmacy Technician License (Tech II) • CPhT Certification by PTCB • Verifiable High School Diploma or GED required

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility