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** Follows processes to assist 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: + Manages the end-to-end billing process, ensuring accurate and timely generation of invoices for healthcare services rendered. + Maintains and updates billing systems and software, ensuring they are configured correctly to generate accurate and compliant invoices. + Monitors key performance indicators, such as days in accounts receivable and denial rates, and implements strategies to improve billing efficiency and cash flow. + Conducts internal audits and quality checks to identify and rectify billing errors or non-compliance issues. + Develops and maintains documentation for billing processes, including standard operating procedures, job aids, and training materials. + Handles and resolves claim rejections, underpayments, and other billing discrepancies, working closely with payers, providers, and internal stakeholders to ensure accurate and timely claim adjudication. + Manages escalated billing issues or complaints, working closely with cross-functional teams to address and resolve issues in a timely manner. + Provides training and mentorship to billing team members, ensuring they have the necessary knowledge and skills to perform their roles effectively. + Ensures that all team members have access to accurate and up-to-date process documentation. **Required Qualifications** + Adept at problem solving and decision making skills + Demonstrated success solving complex problems and executing on those solutions + Strong interpersonal and communication skills **Preferred Qualifications** + Understanding of Medicare and CMS regulations + Ability to utilize Excel **Education** + High school diploma or equivalent required. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 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. 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 people** We 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/24/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.