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Medicare Part B Operations Coordinator, Revenue Cycle
CVS HealthOperations Coordinator supporting Medicare Part B claims processing and compliance for CVS Health. Ensuring accurate billing and collaborating with stakeholders on prescriber documentation.
Posted 7/21/2026full-timeRemote • Idaho, Rhode Island, Vermont • 🇺🇸 United StatesJunior💰 $17 - $34 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare Part B claims processing, ensuring compliance with CMS requirements while effectively managing prescriber documentation. Strong organizational and communication skills are essential for successful interactions with stakeholders.
Highest-signal resume keywords
Medicare Part B Claims ProcessingCMS ComplianceMS Excel ProficiencyRhode Island Pharmacy Technician LicenseCPhT Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingData ValidationDocumentation ManagementAttention to DetailOrganizational Skills
Soft Skills
Clear CommunicationProfessionalism
Tools & Technologies
MS Access
Certifications & Qualifications
CPhT Certification by PTCB
Industry Keywords
Pharmacy Benefit Manager (PBM)Retail PharmacyStandard Operating Procedures
About the role
Key responsibilities & impact- supporting end to end Medicare Part B claims processing activities
- ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission
- assist with initiatives to collect and validate prescriber documentation in accordance with CMS guidelines
- maintain and manage a centralized repository of prescriber documentation and leveraging this data to identify actionable claim volume in alignment with established Standard Operating Procedures
Requirements
What you’ll need- 1+ years (retail pharmacy, PBM, account management)
- 1+ years of professional MS Excel and Access experience
- Strong organizational and diagnostic skills with attention to detail, accuracy and follow through
- Demonstrated ability to communicate clearly, accurately and professionally across verbal, written, and phone interactions with internal and external stakeholders
- Rhode Island Pharmacy Technician License (Tech II)
- CPhT Certification by PTCB
- Verifiable High School Diploma or GED required
- Associate’s Degree preferred
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility