Senior Coordinator, Revenue Cycle

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🔥 0 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $18 - $42 / hour

⏰ Full Time

🟠 Senior

💰 Accounts Receivable

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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

• Managing a high volume of medical claims that have denied • Provide representation of the Accounts Receivable area to internal and external departments • Identifying and quantifying trends/issues and developing potential solutions • Effectively prioritize and manage outstanding refund requests and overpayments • Identify and implement process efficiencies across the department • Recognize and identify coding deficiencies and exercise appropriate action • Identify key stakeholders or primary contacts within payer communities

🎯 Requirements

• Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience • Clear understanding of the intricacies of medical billing • Knowledge of CPT, ICD-9/10, CMS 1500 claim formatting • Familiarity with Electronic Data Interchange (EDI) transmission • Knowledge of national HIPPA, PHI, and regulatory requirements • Preferred: 3-5 Years of Medical Billing experience or health plan claims adjudication experience • Technical Certificate in Medical Billing • Microsoft Office with a focus on Excel, Outlook, and Word • Time management skills • Multi-tasking ability • Athena Practice Management experience

🏖️ Benefits

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