Revenue Cycle Coordinator

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🔥 8 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 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

• Deliver cost effective solutions for our patients by working with insurance companies to resolve issues associated with our patients’ insurance claims • Ensure timely follow-up on all patient accounts; including escalating payer trending concerns to leadership and timely communication with external departments • Work with payers to ensure proper reimbursement on patient accounts, identify and prepare adjustments and write-offs • Correct and resubmit claims (subject to policy) • Follow-up on daily correspondence (denials, short-pays) • Interface with insurance companies via phone and web portal to check claim status, submit written correspondence to payers and patients • Interpret contracts with payers to ensure proper payment • Send initial or secondary bills to insurance companies • Process refunds and work to overturn insurance claim rejections while maintaining quality and productivity requirements • Utilize Excel, Outlook, and Word and your critical thinking skills to ensure a high quality of work.

🎯 Requirements

• 1+ years of work experience in revenue cycle operations (eg: billing, collections, credits, cash etc) • 1+ years of experience in a professional environment • 1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel • Home infusion or durable medical equipment (DME) experience • Strong attention to detail with a sense of urgency; customer service skills • Ability to work in a team environment • Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR); experience with healthcare reimbursement systems. • Verifiable High School Diploma or GED is required.

🏖️ Benefits

• Medical, dental and vision insurance • Supplemental benefits • Retail discounts • Paid time off • Instructor led training programs • Flexible work schedule