Senior Coordinator, Revenue Cycle

CVS Health

Accounts Receivable Associate managing medical claims for CVS Health. Responsible for refuting denials and ensuring compliance with regulations while improving efficiency.

Posted 5/5/2026full-timeRemote • Rhode Island • 🇺🇸 United StatesSenior💰 $19 - $39 per hourWebsite

About the role

Key responsibilities & impact

Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines
Provide representation when needed to internal dept.’s as well as external dept.’s, clients, vendors
identifying and quantifying trends/issues, developing potential solutions
Effectively prioritize and manage outstanding refund requests and overpayments
Identify and implement process efficiencies across the dept.
Recognize and Identify coding deficiencies and exercise the appropriate action

Requirements

What you’ll need

Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience
clear understanding of CPT, ICD-9/10, CMS 1500 claim formatting
familiarity with Electronic Data Interchange (EDI) transmission
knowledge of national HIPPA, PHI, and other regulatory requirements
Technical Certificate in Medical Billing
Microsoft Office with a focus on Excel, Outlook, and Word
Time management skills
The ability to multi-task
Athena Practice Management experience

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs and other resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical BillingClaims AdjudicationCPT CodingICD-9 CodingICD-10 CodingCMS 1500 Claim FormattingElectronic Data Interchange (EDI)HIPAA CompliancePHI ComplianceProcess Efficiency

Soft Skills

Time ManagementMulti-taskingProblem SolvingPrioritizationCommunication

Certifications

Technical Certificate in Medical Billing