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
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.
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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.
- 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.
- 2+ years of supervisory experience in healthcare reimbursement or medical insurance/billing.
- 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.
- 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.
Verifiable High School Diploma or GED is required. Bachelor's Degree is preferred. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$43,888.00 - $85,068.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- 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.