#R0805545
ng Supervisor include:
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
Required Qualifications
Preferred Qualifications
Education
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$43,888.00 - $85,068.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.