Manager, Revenue Cycle

CVS Health

2d

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 Oversees the day-to-day management and provide leadership to critical aspects of billing operations. Develop a team to manage timely billing of claims and payment posting. Create process documentation to ensure efficient, accurate and compliant billing workflows. Working with other business leadership to provide consistent billing guidance and improve clean claim rate.

Requirements

• Candidates will need to have a minimum of 5-7 years of professional experience in healthcare management leading a team of individual contributors.
• Experience in oversight of projects and processes that require complex resolution within both short and long term timelines.
• Experience working with legal and compliance partners in support of maintaining proper billing and coding guidelines.
• Baseline discipline experience as a business analyst, report writer, project manager or similar role.
• Monitor KPIs and report on variances, risks and improvement process opportunities

Nice To Haves

• Epic EHR certification in one or more modules
• AAPC certification
• Proficiency in Microsoft Office tools (Word, Excel, PowerPoint)
• Adept skills to identify, assess, communicate, create and deliver workflows to resolve complex problems that facilitate a resolution/improvement while meeting established timelines
• Excellent written and oral communication skills including development and maintenance of Standard Operating Procedures (SOP)
• Ability to analyze and interpret various status and outcome reports to provide actionable insights to senior leadership

Responsibilities

• Oversees the day-to-day management and provide leadership to critical aspects of billing operations.
• Develop a team to manage timely billing of claims and payment posting.
• Create process documentation to ensure efficient, accurate and compliant billing workflows.
• Working with other business leadership to provide consistent billing guidance and improve clean claim rate.

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