Credit Supervisor, Revenue Cycle – Monroeville, PA (Hybrid)

CVS Health • Monroeville, PA

8d • Hybrid

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Supervisor, Revenue Cycle. The Credit Balance and Refund Supervisor is responsible for timely credit balance resolution refunds to patients, governmental agencies, and other third party payers. This responsibility includes: Managing A/R reports and aging buckets, analyzing the A/R to identify problem areas/trends, recommending and implementing solutions; explaining fluctuations in the A/R; maintaining department workflow. Meeting compliance guidelines for timely and accurate refunds/offsets. Various A/R related reporting requirements, including but not limited to: collector aging’s, metric reporting for team, compliance results. Supervising staff to ensure the daily operation needs are met, including productivity compliance, and quality goals. Interviewing, hiring, evaluating and reviewing staff performance, coaching and counseling, disciplinary action and daily supervision of the staff to ensure that all department and company policies and procedures are followed. Providing excellent customer service. As part of this team, you will work in a fast paced and team focused environment. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. Located in the Monroeville facility, this opportunity also provides free parking.

Requirements

• 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related experience in healthcare insurance.
• Must live within a 1 hour commute from the Monroeville, PA office
• Verifiable High School Diploma or GED required.

Nice To Haves

• 1+ year(s) of leadership experience.
• 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in healthcare insurance.
• Ability to coach, manage, develop, and guide employee performance while establishing meaningful team goals and objectives in order to drive team performance.
• Ability to find creative solutions to issues and foster that type of creativeness in your team.
• Ability to develop a highly productive team through solid communications and feedback.
• Experience in a high volume, fast-paced production environment.
• Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments.
• Strong presentation skills.
• Excellent oral, written, and interpersonal communication skills.
• Prior experience with AR reporting including trending, aging, forecasting, etc.
• Skilled in use of MS Office Applications, particularly Excel.
• Ability to translate and effectively analyze large data sets.
• Highly motivated self-starter with the ability to work both independently and as a part of a cross-functional team.
• Bachelor’s Degree preferred.

Responsibilities

• Managing A/R reports and aging buckets, analyzing the A/R to identify problem areas/trends, recommending and implementing solutions; explaining fluctuations in the A/R; maintaining department workflow.
• Meeting compliance guidelines for timely and accurate refunds/offsets.
• Various A/R related reporting requirements, including but not limited to: collector aging’s, metric reporting for team, compliance results.
• Supervising staff to ensure the daily operation needs are met, including productivity compliance, and quality goals.
• Interviewing, hiring, evaluating and reviewing staff performance, coaching and counseling, disciplinary action and daily supervision of the staff to ensure that all department and company policies and procedures are followed.
• Providing excellent customer service.

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: Manager
• Education Level: High school or GED