CVS Health

Bringing our heart to every moment of your health.

Senior Coordinator, Revenue Cycle

Accounts ReceivableAccounts ReceivableFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Rhode Island

Posted

5 days ago

Salary

$18 - $42 / hour

High School2 yrs expEnglish

Job Description

• Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines • Provide representation when needed of the Accounts Receivable area to internal dept.’s as well as external dept.’s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed • Identifying and quantifying trends/issues, developing potential solutions and then effectively communicate them to management team • Effectively prioritize and manage outstanding refund requests and overpayments to support contract and legal adherence • Recognize and Identify coding deficiencies and exercise the appropriate action

Job Requirements

  • Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience
  • Clear understanding of CPT, ICD-9/10, CMS 1500 claim formatting
  • Familiarity with Electronic Data Interchange (EDI) transmission
  • Experience with Electronic Health Record or encounter charge creation
  • Knowledge of national HIPPA, PHI, and other 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
  • Ability to multi-task
  • Athena Practice Management experience

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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