Revenue Cycle Associate, CVS Health

Revenue Cycle Associate

CVS Health

Location:

United States, Illinois

Category:

Customer Service

Contract Type:

Employment contract

Salary:

43888.00 - 93574.00 USD / Year

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Job Description:

The Revenue Cycle Associate will be involved in the day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered.

Job Responsibility:

Ensure timely payments collection from payers
accounts receivable follow-up for denied claims
utilize tools to identify reasons for non-payments
work with billing vendors and insurance companies to resolve claim denials
process and upload payments to billing vendor portal
review and approve patient statements for mailing
analyze billing data for trends
collaborate with administrative staff to resolve billing questions
proficiency in reading insurance plan and policy numbers
extract details from medical records for billing coding changes
communicate effectively regarding patient statements
contact payers regarding incorrect payments
work within claim scrubbing software
complete assignments accurately and promptly
maintain knowledge of policies for collections, adjustments and write-offs
problem-solving with payers issues
adapt to changing procedures

Requirements:

Experience in health care accounts receivable follow-up
exceptional customer service skills
good understanding of the claims revenue cycle
ability to read and interpret insurance Explanation of Benefits (EOB) statements
at least 2 years of working on coding denials
understanding of NCCI edits preferred
solid understanding of insurance guidelines including COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
time management skills
ability to meet deadlines
minimum of Associates degree, Bachelors preferred
proficiency in Excel/Google Sheets preferred
CPB and/or CPC credentials are a plus
US work authorization

Nice to have:

Excel/Google Sheets experience
CPB and/or CPC credentials
knowledge of NCCI edits

What we offer:

Paid vacation
sick time
401K match options
health insurance
vision benefits
dental benefits
leadership development opportunities
continuing education stipends
flexible work environments
rapid advancement opportunities

Additional Information:

Job Posted:

March 19, 2025

Expiration:

September 17, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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