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Revenue Cycle Associate

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Illinois

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

43888.00 - 93574.00 USD / Year

Job Description:

The Revenue Cycle Associate will be involved in the company’s 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 payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims
  • make use of all available tools to efficiently identify reasons for non-payments and follow necessary steps for adjudication
  • collaborate with billing vendors and insurance companies to correct and refile claims
  • process and upload checks/electronic payments for cash posting
  • review and approve patient statements prior to mailing
  • analyze billing data to identify trends and create reports
  • interact with administrative staff and billing vendors to resolve questions
  • extract details from medical records to support billing and coding changes
  • reply to clinic inquiries via helpdesk ticketing system
  • contact payers for clarification on denials
  • work effectively within claim scrubbing software
  • complete assignments accurately and on time
  • maintain knowledge of collections, adjustments, and write-offs policies
  • exhibit strong critical thinking and problem-solving skills for payer issues like denials and underpayments
  • adapt to changing procedures and a growing environment

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 and understanding of NCCI edits preferred
  • solid understanding of insurance guidelines and principles including COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
  • time management skills and ability to meet deadlines
  • education minimum of Associate’s degree, Bachelor’s preferred
  • experience with 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
  • Bachelor’s degree
What we offer:
  • Paid vacation
  • sick time
  • investment/retirement 401K match options
  • health insurance, vision, and dental benefits
  • opportunities for leadership development and continuing education
  • new centers and flexible work environments
  • opportunities for high levels of responsibility and rapid advancement
  • no-cost wellness programs including screenings, tobacco cessation and weight management
  • confidential counseling and financial coaching
  • dependent care resources
  • tuition assistance

Additional Information:

Job Posted:
March 19, 2025

Expiration:
September 17, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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