[Hiring] Revenue Cycle Coordinator @CVS Health

Role Description

As a Collector, you play an integral role in delivering 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.
• Escalate payer trending concerns to leadership.
• Communicate timely 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.

To be successful in this role you will utilize Excel, Outlook, and Word and your critical thinking skills to ensure a high quality of work.

Qualifications

• 1+ years of work experience in revenue cycle operations (e.g., 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.

Requirements

• 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.

Benefits

• Comprehensive benefits package that begins the first of the month after your start date.
• Medical, dental, and vision insurance.
• Supplemental benefits.
• Retail discounts.
• Paid time off.
• Flexible work schedule, starting your 8-hour day between 7:00am and 8:30am.