CVS Health logo
CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Senior Coordinator, Revenue Cycle

Location

Rhode Island

Posted

13 days ago

Salary

$18 - $42 / hour

Seniority

Senior

High School2 yrs expEnglish

Job Description

Senior Coordinator, Revenue Cycle

CVS Health

• 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

Job 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

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