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Senior Revenue Cycle Collections Specialist
CVS HealthCollector resolving patient insurance claims for CVS Health. Ensuring timely reimbursement and addressing payer concerns through effective communication.
About the role
Key responsibilities & impact- Ensure timely follow-up on all patient accounts
- Escalate payer trending concerns to leadership
- Communicate with external departments
- Work with payers to ensure proper reimbursement on patient accounts
- Identify and prepare adjustments and write-offs
- Correct and resubmit claims
- Follow-up on daily correspondence
- Check claim status, submit written correspondence to payers and patients
- Interpret contracts with payers
- Send initial or secondary bills to insurance companies
- Process refunds and work to overturn insurance claim rejections
Requirements
What you’ll need- 1+ years of experience in a professional environment
- Home infusion or durable medical equipment (DME) experience preferred
- Strong attention to detail with a sense of urgency
- Customer service skills
- Ability to work in a team environment
- Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR)
- Experience with healthcare reimbursement systems
- Verifiable High School Diploma or GED required.
Benefits
Comp & perks- Medical, dental and vision insurance
- Supplemental benefits
- Retail discounts
- Paid time off
- Flexible work schedule
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingcollectionsaccounts payableaccounts receivablehealthcare reimbursement systemsclaim processingcontract interpretationadjustmentswrite-offsclaim resubmission
Soft Skills
attention to detailsense of urgencycustomer serviceteamworkcommunication
Certifications
High School DiplomaGED