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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
As a Coordinator, Revenue Cycle, you will work in a pharmacy operation setting at our Patient Financial Service Centers, supporting the claims follow up, denial and appeals processes.
You will directly impact a patient's life by ensuring all payer payments have been appropriately allocated, helping to alleviate the financial burden to patients.
Role OverviewSchedule: Monday-Friday, 8:00AM-4:30PM ESTHybrid Role: 4 days per month in Orlando, FL office.What you will doWork out of a unbilled queue and aged work list queue processing denials, unpaid claims, primary and secondary billing efforts for both commercial and government payers.Follow up on payment denials and underpayments on patient’s accounts, working with payers to ensure that all claims have been processed correctly and have been applied to the appropriate accounts.Continually monitor the billing and collections process to ensure that any communication, collection efforts and adjustments have been documented and recorded on patient accounts.Perform detailed research of claims and outstanding balances. Identifying root cause and resolve trends and issues with minimal supervisionUtilizing Paper (Universal Claim Forms and HCFA 1500) and Electronic Billing (System Adjudication and Web portal billing) systems.Escalate and appeal claims for expedited resolution.Analyzing and understanding Explanation of Benefits (EOBs) and Remittance advice breakdown.
Required Qualifications
Preferred Qualifications
Education
Pay Range
The typical pay range for this role is:
$17.00 - $25.65This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits