Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle

CVS Health • Island, KY

1d • $19 - $42

About The Position

CVS Health/minute clinic is dedicated to helping people on their path to better health as part of the largest integrated pharmacy company in the United States. Through the company's more than 7,600 CVS/pharmacy stores; its leading pharmacy benefit manager serving more than 60 million plan members; and its retail health clinic system, the largest in the nation with more than 970 MinuteClinic locations, it is a market leader in mail order, retail and specialty pharmacy, retail clinics, and Medicare Part D Prescription Drug Plans. As a pharmacy innovation company with an unmatched breadth of capabilities, CVS Health continually strives to improve health and lower costs by developing new approaches. The Minute Clinic Accounts Receivable Associate, Senior Coordinator, will be responsible for:

Requirements

• The coordinator must have a clear understanding of the intricacies of medical billing encountered in such areas like ambulatory care, physician/provider offices, or professional billing settings.
• In addition, a clear understanding of CPT, ICD-9/10, CMS 1500 claim formatting, as well as, familiarity with Electronic Data Interchange (EDI) transmission, Electronic Health Record or encounter charge creation is key to success in this position.
• Knowledge of national HIPPA, PHI, and other regulatory requirements to help ensure compliance when working claims data is important.
• Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience
• Verifiable High School Diploma or GED required

Nice To Haves

• 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
• The ability to multi-task
• Athena Practice Management experience

Responsibilities

• Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines through accurate review, correction, and resubmission
• Provide representation when needed of the Accounts Receivable area to internal dept.’s as well as external dept.’s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed
• The account receivable associate will be responsible for identifying and quantifying trends/issues, developing potential solutions and then effectively communicate them to the appropriate members of the management team along with what the potential impact could be.
• Effectively prioritize and manage outstanding refund requests and overpayments to support contract and legal adherence with all payers including Medicare and Medicaid.
• Identify and implement process efficiencies across the dept. including automation opportunities or workflow enhancement opportunities to reduce manual efforts and improve productivity and overall compliance
• Recognize and Identify coding deficiencies and exercise the appropriate action based upon compliance and CMS regulations
• Identify key stake holders or primary contacts within payer communities to drive more effective processes

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED