#R0391263
bottom line revenue by managing a high volume of pharmacy benefit claim billing and collections. This role will require a clear understanding of pharmacy benefits, billing, and collections.
Role Overview
Hybrid Role
What you will do
Creating and maintaining an inclusive environment to support a highly motivated team while ensuring key AR metrics are achieved and maintained.
Influence and support your team by setting applicable priorities and holding them accountable for desired outcomes.
Assess the skill level of team members and follow up with training assistance when gaps are identified.
Reviewing routine reports to ensure compliance as well as enhancing and utilizing Ad-Hoc metric review to provide consistent measurement and feedback of departmental expectations, success and areas of concern.
Identifying and quantifying trends/issues and effectively communicating/reporting them to the appropriate members of the management team along with the potential impact.
Understand knowledge of national HIPPA, PHI and other regulatory requirements to help ensure compliance when working claims data is also important.
Cover employee daylight shifts Monday through Friday and an occasional weekend.
Required Qualifications
Must live within a 1 hour commute from the Monroeville, PA office.
1+ years of medical billing, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in healthcare insurance.
1+ years of leadership experience. (eg. having Direct reports, Team Lead).
Preferred Qualifications
3+ Years of medical Billing experience/health plan claim adjudication/accounts receivable.
Ability to coach, manage, develop and guide employee performance while establishing meaningful team goals and objectives in order to drive team performance.
Ability to find creative solutions to issues and foster that type of creativeness in your team.
Ability to develop a highly productive team through solid communications and feedback.
Experience in a high volume, fast-paced production environment.
Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments.
Strong presentation and communication skills.
Prior experience with AR reporting including: trending, aging, forecasting, etc.
Skilled in use of MS Office Applications particularly Excel with a proven ability to translate and make sense of large data sets.
Bachelor's Degree preferred.
Education
Verifiable High School Diploma or GED is required.
Pay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00
This 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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 12/31/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.