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.Position Summary

CVS Health Specialty Pharmacy, a mail service pharmacy in the Orlando area has an opportunity for a full-time Supervisor, Revenue Cycle. The Specialty RCM Supervisor will be responsible for leading a team of individuals responsible for the billing and collections of Medical and Pharmacy claims and ensuring payments are received timely from the payers. They will oversee the daily operations of the billing and collections team, ensuring accurate and timely processing of transactions. This includes timely follow-up of all open AR and providing routine reporting to leadership. The Supervisor acts as a key liaison between internal teams and external partners, fostering collaboration and a culture of continuous learning. As part of this team, you will work in a fast paced and team focused environment.We will support you by offering all the tools and resources you need to be successful in a collaborative team environment.Located in the Orlando facility, this opportunity also provides free parking.Role Overview:

• Work Hours: 8:00AM-4:30PM EST
• Hybrid Role: Six days a month onsite at the Orlando office or as needed (Subject to change depending on business needs.)

• Hire, onboard, train and retain staff necessary to achieve key metrics
• Provide scheduling to support operational hours and ensure billing and collections coverage across multiple shifts
• Responsible for various administrative duties such as Payroll, timesheet review, interviews, disciplinary notices, performance reviews, staff pay rate recommendations, and resolving personnel matters
• Oversee day to day employee metrics, productivity, and tracking colleague performance for a high volume transaction area
• Quality check claims to ensure effectiveness of financial controls, claim accuracy, increase collection rate and reduce bad debt
• Coach and mentor staff, providing research and best practice advice on escalated billing and accounts receivable issues
• Develop, maintain, and review Job Aids, Workflows and Policy & Procedures
• Generate and analyze standard reports to efficiently and effectively implement impact based goals on functional area
• Perform tracking, trending and driving claim issues for improvement and resolution on multiple lines of business, ensuring timeline and deliverables are met for current initiatives
• Own and foster good working partnerships with internal and external business partners including, IT, Front end operations, Pharmacists and Payor Relations Team to verify claims and/or discuss any claim issues that may occur
• Execute finance end of month deliverables, team summaries and required presentations
• Identify opportunities for process improvement within revenue cycle
• Hold regular meetings with direct reports
• Host Monthly Team Meetings
• Support other duties as deemed necessary

• 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related experience in healthcare insurance.
• 1+ year(s) of leadership experience.
• Must live within a 1 hour commute from the Orlando, FL office

• 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in healthcare insurance.
• Ability to coach, manage, develop, and guide employee performance while establishing meaningful team goals and objectives in order to drive team performance.
• Ability to find creative solutions to issues and foster that type of creativeness in your team.
• Ability to develop a highly productive team through solid communications and feedback.
• Experience in a high volume, fast-paced production environment.
• Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments.
• Strong presentation skills.
• Excellent oral, written, and interpersonal communication skills.
• Prior experience with AR reporting including trending, aging, forecasting, etc.
• Skilled in use of MS Office Applications, particularly Excel.
• Ability to translate and effectively analyze large data sets.
• Highly motivated self-starter with the ability to work both independently and as a part of a cross-functional team.

• Verifiable High School Diploma or GED required.
• Bachelor's Degree preferred.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.