Manager, Revenue Cycle(EPIC Reporting)

CVS Health•Work At Home-Illinois, IL

2d•$66,330 - $145,860

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 Leadership and Team Management: Provide leadership to critical aspects of billing operations while managing smaller teams responsible for day-to-day operations. Team Development: Develop a team focused on managing electronic eligibility responses, timely billing of claims, accurate payment posting, and utilizing an optimized insurance follow up process. Process Documentation: Create process documentation providing clear communication to ensure efficient, accurate, and compliant billing workflows. Cross-Functional Collaboration: Work alongside other business leadership to provide consistent billing guidance and improve the clean claim rate

Requirements

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.

Nice To Haves

Epic Professional Billing (PB Resolute) experience
Epic PB reporting (Slicer Dicer, Workbench Reporting)
AAPC certification (CPB, CPC or CRC)
Proficiency in Microsoft Office tools (Word, Excel, PowerPoint)
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

Provide leadership to critical aspects of billing operations while managing smaller teams responsible for day-to-day operations.
Develop a team focused on managing electronic eligibility responses, timely billing of claims, accurate payment posting, and utilizing an optimized insurance follow up process.
Create process documentation providing clear communication to ensure efficient, accurate, and compliant billing workflows.
Work alongside other business leadership to provide consistent billing guidance and improve the clean claim rate
Monitor KPIs and report on variances, risks and improvement process opportunities