Manager, Revenue Cycle

CVS Health

1d

About The Position

CVS Health is building a world of health around every individual, shaping a more connected, convenient, and compassionate health experience. Colleagues are passionate, innovative, accountable, and prioritize safety and quality. The role involves overseeing the day-to-day management and providing leadership to critical aspects of billing operations. This includes developing a team for timely claim billing and payment posting, creating process documentation for efficient, accurate, and compliant billing workflows, and collaborating with other business leadership to provide consistent billing guidance and improve clean claim rates.

Requirements

• 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
• Post Secondary/high school education in related discipline or comparable experience

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
• Bachelor's Degree preferred

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
• Monitor KPIs and report on variances, risks and improvement process opportunities

Benefits

• Comprehensive and competitive mix of pay and benefits
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

What This Job Offers

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