Senior Coordinator, Revenue Cycle

CVS Health

Accounts Receivable Associate managing medical claims and denials for CVS Health. Responsible for identifying trends, ensuring compliance and improving efficiencies in the billing process.

Posted 5/14/2026full-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
Refuting the denials within payer guidelines through accurate review, correction, and resubmission
Providing representation of the Accounts Receivable area to internal and external departments, clients, vendors, and processors
Identifying and quantifying trends/issues, developing potential solutions, and communicating them to management
Effectively prioritizing and managing outstanding refund requests and overpayments
Identifying and implementing process efficiencies across the department
Recognizing and identifying coding deficiencies under compliance

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, Electronic Health Record or encounter charge creation
Knowledge of national HIPPA, PHI, and other regulatory requirements
Technical Certificate in Medical Billing preferred
Microsoft Office with a focus on Excel, Outlook, and Word
Time management skills
The ability to multi-task
Athena Practice Management experience preferred

Benefits

Comp & perks

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

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)Electronic Health Record (EHR)Process EfficienciesCoding Deficiencies

Soft Skills

Time ManagementMulti-taskingCommunicationProblem SolvingPrioritization

Certifications

Technical Certificate in Medical Billing