Coordinator, Revenue Cycle

Monroeville, Pennsylvania, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Retail PharmacyIndustries

Requirements

Candidates must have at least 1 year of medical billing and/or pharmacy billing work experience, along with working knowledge of problem-solving and decision-making skills. A High School Diploma is required, and a Certified Billing and Coding Specialist (CBCS) certification is preferred.

Responsibilities

The Coordinator, Revenue Cycle will assist with processing, insurance verification and authorization, revenue cycle management, compliance, documentation, and issue resolution. Responsibilities include monitoring the revenue cycle for efficient revenue capture, identifying and implementing process improvements, analyzing workflows, and collaborating with stakeholders to implement new technology and train staff. The role also involves maintaining compliance with regulatory requirements, auditing processes, analyzing financial performance, and reporting on financial performance.

Skills

Revenue Cycle Management

Billing

Insurance Verification

Authorization

Compliance

HIPAA

CMS Guidelines

Process Improvement

Workflow Analysis

Financial Performance Analysis

Auditing

Problem-Solving

Data Analysis

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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