Supervisor, Revenue Cycle

2 weeks ago

Phoenix, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

**Position Summary**
As a Supervisor for the Infusion Accounts Receivable (A/R) department, you will be responsible for providing leadership for assigned Patient Financial Services (PFS) teams. You will oversee a team of A/R representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, and managing the accurate and timely filing of claims within payer function group.

Additional responsibilities of the Accounts Receivable Supervisor include:

- Oversee day-to-day operations of teams to ensure timely and accurate completion of all PFS activities
- Monitor and strive to continually improve the collection of payer claims in accordance with the respective contract
- Assist management with meetings with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes
- Ensure daily reconciliation of electronic claim files
- Maintain productivity and quality standards of all PFS functions
- Review accounts receivable adjustments for accuracy and submit adjustment requests as defined by departmental policies and procedures for upper management approval
- Maintain compliance with government reimbursement programs
- Suggest changes to department policies and procedures as appropriate
- Work with management to complete disciplinary action as required
- Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed
- Complete annual performance reviews for employees and provide timely feedback
- Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities
- Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"
- Liaise appropriately with peers across the organization; work with Intake and Analytics department to communicate trends and suggest process improvements to revenue cycle

**Required Qualifications**
- 2+ years of supervisory experience in healthcare reimbursement or medical insurance/billing
- 5+ years of Revenue Cycle or similar Accounts Receivable experience, preferably within billing/collections
- 1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel

**Preferred Qualifications**
- Clear understanding of how Collections and Billing impacts Revenue Cycle operations and financial performance
- Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred
- Home healthcare experience, preferably in pharmacy settings
- Experience in managing projects involving the collaboration, motivation and cooperation of a wide variety of people with whom there is no direct reporting relationship
- Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment
- Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality

**Education**
Verifiable High School Diploma or GED is required. Bachelor’s Degree is preferred.

**Pay Range**

The typical pay range for this role is:
$40,600.00 - $89,300.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of

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