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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
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 Revenue Cycle Associate, you will support the Third Party Pharmacy Account Management team to reduce bad debt, eliminate legal risk, and help ensure compliance to all federal/state requirements and CVS Health obligations.
Additional responsibilities of the Finance Associate include:
– Performing trend analysis on Payer exceptions, reviewing reports and current procedures, identifying issues, recommending/implementing process improvements, and ensuring compliance.
– Timely and accurate application of remittance to open deposits through manual processing of remittance files.
– Closely monitoring open deposit exceptions and contacting remittance processors, payers, and/or other internal departments to resolve issues associated with missing/incomplete remittance files.
– Coordinate files for write offs and work closely with our system partners by attending requirement meetings, reporting defects and following up on the resolution; recommending and writing change requests as well as implementing a short term solution
What you will do
• Monitors the revenue cycle process to ensure efficient and effective revenue capture and financial performance.
• Identifies opportunities for process improvement within the revenue cycle.
• Analyzes current workflows to identify bottlenecks or inefficiencies, and implements strategies to streamline processes, reduce errors, and enhance revenue cycle outcomes.
• Collaborates with stakeholders to implement new technology, develop standardized procedures, and train staff on best practices.
• Maintains compliance with regulatory requirements and billing regulations for healthcare revenue cycle management.
• Audits process to ensure adherence to applicable regulations such as HIPAA, CMS guidelines, and coding and billing standards.
• Encourages and supports a culture of innovation, experimentation, and creative problem-solving among the team.
• Monitors and analyzes financial performance related to the revenue cycle and reports the financial performance of the clinical departments.
• Sets individual performance goals and helps to fosters a culture of continuous improvement and accountability.
Required Qualifications
• 1 year work experience in revenue cycle
• 1+ years of MS Office experience, either academically or professionally
• Working knowledge of problem solving and decision making skills
Preferred Qualifications
• – 1+ year(s) in retail pharmacy, PBM, account management
– Prior experience in collections and/or accounts receivables/payables preferred
– Demonstrated ability to communicate clearly, accurately and tactfully, both verbally, and in writing, with both internal and external business partners.
– Ability to make intelligent decisions independently and/or escalate issues, with contributing recommendations for resolution of issues/process improvements, to next level managers for resolution.
– Ability to work individually, with a team, and with their manager to systematically identify and define problems.
– Ability to receive guidance and supervision, follow instructions and procedures.
– Ability to write clear instructions for store personnel and peers to follow to minimize bad debt for future fills.
– Demonstrated ability to communicate clearly, accurately and tactfully, both verbally and in writing
– Flexibility to adapt to a changing environment, quickly making sound decisions
– Ability to work individually or with a team with supervision
– Proficient in the Microsoft Office Applications (Word, Excel, Access and Outlook)
– Ability to work in strict confidence, ensuring the confidentiality of the patient and medical and financial records, at all times, in compliance with the company and HIPAA Privacy guidelines.
– Ability to complete routinely assigned work based on productivity standards using strong problem solving skills
– Good diagnostic and organizational skills with a strong attention to detail, accuracy, and follow through.
Education
• High School Diploma
Pay Range
The typical pay range for this role is:
$17.00 – $31.30
This 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 Benefits | CVS Health
We anticipate the application window for this opening will close on: 10/25/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
