[Remote] Supervisor, Revenue Cycle at CVS Health

Illinois, 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

HealthcareIndustries

Requirements

5+ years of Revenue Cycle or similar Accounts Receivable experience, preferably within billing/collections
1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel
Preferred: 2+ years of supervisory experience in healthcare reimbursement or medical insurance/billing
Preferred: Clear understanding of how Collections and Billing impacts Revenue Cycle operations and financial performance
Preferred: Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment
Preferred: Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
Preferred: Certification with Healthcare

Responsibilities

Provide leadership for assigned Patient Financial Services (PFS) teams
Oversee a team of A/R representatives responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, and managing the accurate and timely filing of claims within payer function group
Oversee day-to-day operations of teams to ensure timely and accurate completion of all PFS activities
Monitor and strive to continually improve the collection of payer claims in accordance with the respective contract
Assist management with meetings with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes
Ensure daily reconciliation of electronic claim files
Maintain productivity and quality standards of all PFS functions
Review accounts receivable adjustments for accuracy and submit adjustment requests as defined by departmental policies and procedures for upper management approval
Maintain compliance with government reimbursement programs
Suggest changes to department policies and procedures as appropriate
Work with management to complete disciplinary action as required
Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed
Complete annual performance reviews for employees and provide timely feedback
Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities
Develop and maintain “super user” capabilities in technology applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department
Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"
Liaise appropriately with peers across the organization; work with Intake and Analytics department to communicate trends and suggest process improvements to revenue cycle

Skills

Accounts Receivable

Patient Financial Services

PFS

Claims Processing

Payer Relations

Reimbursement

A/R Management

Productivity Standards

Quality Assurance

Team Leadership

Electronic Claims

Reconciliation

Compliance

Training Development

Policy Procedures

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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