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

　　A Brief Overview Assists with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations. What you will do

　　Defines workflows, procedures, software analysis and maintenance, and implementation of processes and communication plans for the Billing team.

　　Performs invoice analysis to identify errors, discrepancies, and opportunities for cost savings to contribute to the company's overall revenue and profitability targets.

　　Communicates with Accounts Payable to investigate unusual charge trends, determine corrective actions, and work with the team to help implement a remedial action plan.

　　Identifies and implements automation processes and billing improvements to increase efficiency and accuracy.

　　Maintains tracking system for all billing activity throughout all levels of appeals while maintaining compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.

　　Prepares and sends reports weekly to Chief Compliance Officer, VP Revenue Cycle, Medical Director Utilization Management, Director of Case Management, and others as assigned.

　　Provides support to the Corporate Compliance Officer in timely detection, response, investigation, analysis, and applicable corrective action pertaining to any compliance matter.

　　Assists with the development and implementation of compliance training and education programs.

　　Exercises as a point of contact for company employees regarding potential compliance concerns and questions.

　　Required Qualifications

　　Minimum one year of experience in medical billing or collections, accounts payable, or accounts receivable.- Minimum one year of experience working with healthcare reimbursement systems.- Excellent customer service orientation.- Attention to details and excellent time management skills.- Proficiency in Microsoft Office software – Word, Excel, and PowerPoint.For this role you will need Minimum Requirements

　　Less than 1 year work experience

　　Preferred Qualifications

　　Certified Billing and Coding Specialist (CBCS) preferred.Education

　　High School DiplomaPay Range

　　The typical pay range for this role is:

　　$17.00 - $29.88

　　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 medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.