Analyst, Revenue Cycle – CPB or CPC Preferred
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $43,888 - $93,574 per year
About the role
- involved in the company's day-to-day revenue cycle management
- ensure payments are collected timely and in full from payers
- perform appropriate accounts receivable follow-up for denied claims
- make use of all available tools to efficiently identify reasons for non-payments
- work with insurance companies to follow up on denials of claims
- process and upload checks/electronic payments for cash posting
- review/approve patient statements prior to mailing
- analyze data to identify trends and create reports for management
- interact and collaborate with administrative staff to resolve billing questions
- proficiency reading proper insurance plan and policy# from insurance ID cards
- ability to extract details from medical records to substantiate billing coding changes
- communicate effectively using helpdesk ticketing system
- contact payers to obtain clarification regarding incorrect payment/denials
- effectively work edits within claim scrubbing software
- accurately complete assignments in a timely manner
- maintain working knowledge of company policies for collections, adjustments and write-offs
- possess strong critical thinking and problem solving skills
Requirements
- experience in health care accounts receivable follow-up
- good understanding of the claims revenue cycle
- EPIC experience
- know how to read and interpret insurance Explanation of Benefits (EOB)
- at least 2 years of working on coding denials
- understanding of NCCI edits
- solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
- time management skills
- associates degree minimum, bachelor's preferred
- excel/google sheets experienced preferred
- CPB and/or CPC credentials are a plus
- US work authorization
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
accounts receivable follow-upclaims revenue cyclecoding denialsNCCI editsinsurance guidelinesCPTICD-10medical terminologyEPICExcel
Soft Skills
critical thinkingproblem solvingtime managementeffective communicationcollaboration
Certifications
CPBCPC