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CVS Health · 11 hours ago

Supervisor, Revenue Cycle

Phoenix, AZ

Full-time

Onsite

Mid, Senior Level

$44K/yr - $85K/yr

5+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Supervisor for the Billing Department will provide leadership for Patient Financial Services teams, ensuring accurate billing practices and optimal reimbursement through effective management of billing operations.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Oversee day-to-day operations of billing teams to ensure timely and accurate completion of all PFS activities

Ensure clean claim submission by monitoring accuracy, compliance and completeness of billing process to reduce denials and delays

Monitor and strive to continually improve billing efficiency and payer claim acceptance in accordance with contract requirements

Assist management with meetings with key payers to discuss billing, reimbursement issues and payer publication notices affecting claims processing changes

Ensure daily reconciliation of electronic claim files and resolve discrepancies promptly

Maintain productivity and quality standards of all PFS functions

Review billing-related adjustments for accuracy and submit adjustment requests as defined by departmental policies and procedures for upper management approval

Maintain compliance with government reimbursement programs and payer specific guidelines

Recommend changes to department policies and procedures to improve billing accuracy and efficiency

Collaborate with management to complete disciplinary action as required

Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed

Complete annual performance reviews for employees and provide timely feedback

Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities

Develop and maintain 'super user' capabilities in technology applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department

Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and 'leading practices'

Liaise appropriately with peers across the organization; work with Intake and Analytics department to communicate trends and suggest process improvements to revenue cycle

Qualification

Revenue Cycle ManagementBillingCollectionsHealthcare ReimbursementMicrosoft Office SuiteHealthcare Financial CertificationProject ManagementSupervisory ExperienceCustomer Service OrientationTeam BuildingDynamic Work Environment

Required

5+ years of Revenue Cycle or similar Accounts Receivable experience, preferably within billing/collections

1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel

Verifiable High School Diploma or GED is required

Preferred

2+ years of supervisory experience in healthcare reimbursement or medical insurance/billing

Clear understanding of how Billing and Collections impacts Revenue Cycle operations and financial performance

Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative

Home healthcare experience

Experience in managing projects involving the collaboration, motivation and cooperation of a wide variety of people with whom there is no direct reporting relationship

Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment

Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality

Bachelor's Degree is preferred

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.