Assoc Mgr, Revenue Cycle

CVS Health
Remote

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. Company: Oak Street Health Title: Manager, Revenue Cycle Operations Location: 30 W Monroe St Suite 1200 Chicago, IL 60603 Role Description The Manager, Revenue Cycle Operations will be responsible for supervising the department workflow processes, submission of health care claims and subsequent payment for services rendered. This position will report directly to the Sr Director, Revenue Cycle Operations.

Requirements

  • The ideal candidate must have experience in health care accounts receivable follow-up, exceptional customer service skills, and a good understanding of the claims revenue cycle
  • Superior leadership, problem solving, team building and decision-making skills
  • Experience overseeing revenue activities, and meeting all financial objectives
  • Solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
  • Time management skills, and the ability to meet deadlines is imperative.
  • Education minimum of Bachelor's degree
  • Ability to work in a remote environment
  • Effectively manage a fully remote team
  • US work authorization

Nice To Haves

  • CPB and/or CPC credentials preferred
  • Someone who embodies being “Oaky”

Responsibilities

  • Direct Supervision of Associates including managerial tasks (Annual and mid-year reviews, new hire reviews, coaching/disciplinary documentation, PTO, Expense reports, etc)
  • Oversee full revenue cycle operations to ensure timely, accurate, and compliant submission of health care claims to maximize revenue realization
  • Preside over activities of staff involved in billing, collections, insurance follow-up, payment posting, coding and charge entry including training of new hires
  • Manage relationship of billing vendor(s)who is responsible for follow-up on claims (submissions, denials, and rejections), posting of insurance payments and creation of patient statements.
  • Coordinate across various company departments to implement and oversee new policies, practices and procedures to reduce billing/eligibility issues, adhere to compliance requirements, and provide reporting/transparency into operational and financial effectiveness
  • Investigate and serve as expert resource on compliance issues surrounding billing and coding
  • Develop management reporting tools and provide regular communication to senior leadership
  • Assist in development and maintenance of budget and staffing requirements for revenue cycle operations
  • Other duties as assigned

Benefits

  • Mission-focused career impacting change and measurably improving health outcomes for medicare patients
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Opportunities for leadership development and continuing education stipends
  • New centers and flexible work environments
  • Opportunities for high levels of responsibility and rapid advancement
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