Supervisor, Revenue Cycle

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

As a Supervisor for the Billing Department, you will be responsible for providing leadership for assigned Patient Financial Services (PFS) teams.  You will oversee a team of billing representatives responsible for accurate and timely submission of claims and ensuring clean billing practices that support optimal reimbursement.

Additional responsibilities of the Billing Supervisor include:

• Oversee day-to-day operations of billing teams to ensure timely and accurate completion of all PFS activities 
• Ensure clean claim submission by monitoring accuracy, compliance and completeness of billing process to reduce denials and delays.
• Monitor and strive to continually improve billing efficiency and payer claim acceptance in accordance with contract requirements.
• Assist management with meetings with key payers to discuss billing, reimbursement issues and payer publication notices affecting claims processing changes 
• Ensure daily reconciliation of electronic claim files and resolve discrepancies promptly
• Maintain productivity and quality standards of all PFS functions 
• Review billing-related adjustments for accuracy and submit adjustment requests as defined by departmental policies and procedures for upper management approval 
• Maintain compliance with government reimbursement programs and payer specific guidelines 
• Recommend changes to department policies and procedures to improve billing accuracy and efficiency 
• Collaborate 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 
• Develop and maintain “super user” capabilities in technology applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department 
• 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

• 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

• 2+ years of supervisory experience in healthcare reimbursement or medical insurance/billing                                         
• Clear understanding of how Billing and Collections impacts Revenue Cycle operations and financial performance 
• Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative
• Home healthcare experience
• 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.

Anticipated Weekly Hours

Time Type