Medicare Part B Operations Supervisor, Revenue Cycle

Job not on LinkedIn

🔥 37 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $43.9k - $102.1k / year

⏰ 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

• Lead day-to-day team operations by monitoring productivity, quality, and performance in a high-volume revenue cycle environment. • Coach, mentor, and develop colleagues by providing guidance, support, and best-practice expertise on core responsibilities and escalations. • Create, maintain, and enhance job aids, workflows, and policy and procedure documentation to support consistency and compliance. • Generate and analyze reports to identify trends, improve performance, and support achievement of functional goals. • Drive tracking and trending efforts to resolve unbilled issues and ensure timelines and deliverables are met. • Build strong partnerships with internal and external stakeholders, including vendors, front-end operations, and payer relations teams, to promote compliance and operational success. • Hire, onboard, train, and retain top talent needed to meet performance goals and business objectives. • Manage key administrative leadership responsibilities, including payroll, timesheet review, interviewing, and performance management.

🎯 Requirements

• 1+ year of experience in insurance billing, collections, accounts receivable, health plan claims processing or adjudication, or a related healthcare insurance field. • 1+ year of leadership experience with a demonstrated ability to guide team performance and support employee development. • Experience with Medicare Part B documentation verification, billing, and/or collections. • 3+ years of experience in insurance billing, collections, accounts receivable, health plan claims adjudication, or a related healthcare insurance field. • Proven ability to coach, develop, and inspire employees while setting meaningful team goals that drive performance. • Strong problem-solving skills with the ability to identify creative solutions and foster innovation within the team. • Exceptional organizational skills with the ability to prioritize effectively, manage multiple responsibilities, and deliver results. • Strong presentation, written, verbal, and interpersonal communication skills. • Advanced proficiency in Microsoft Office applications, particularly Excel. • Ability to interpret, translate, and analyze large data sets to support informed decision-making. • Rhode Island Pharmacy Technician License (Tech II) • CPhT Certification by PTCB • Education 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