CVS Health

Associate II Revenue Cycle

Chicago, IL, US

Remote
Full-time
$43.9k–$93.6k/year
2 days ago
Save Job

Summary

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. Company: Oak Street Health Title: Associate, Revenue Cycle Location: Remote Role Description: The Revenue Cycle Associate will be involved in the company's day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered. Core Responsibilities: Ensure payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims Make use of all available tools (websites, electronic medical records, and payer systems) to efficiently identify reasons for non-payments, and follow the necessary steps for the insurance company to adjudicate the claims Work with billing vendor and insurance companies to follow up on denials of claims, make necessary corrections, and refile the claim to payer for reimbursement Process and upload checks/electronic payments to billing vendor's portal for cash posting Review/approve patient statements prior to billing vendor mailing Analyze data from billing vendor to identify trends and create reports for management Interact and collaborate with administrative staff within our clinics and our billing vendor to resolve billing questions Proficiency reading proper insurance plan and policy# from insurance ID cards Experience using Multi-payer web portals Ability to extract details from medical records to substantiate billing coding changes Communicate effectively using helpdesk ticketing system to reply to clinic inquiries regarding patient statements Contact payers to obtain clarification and/or details regarding incorrect payment/denials Effectively work edits within claim scrubbing software Accurately complete assignments in a timely manner Maintain working knowledge of company policies for collections, adjustments and write offs Possess strong critical thinking and problem solving skills to work through payers issues such as denials, underpayments and/or missing payment Adaptable to changing procedures and a growing environment Other duties as assigned What are we looking for? The ideal candidate must have experience in health care accounts receivable follow-up, exceptional customer service skills, and a good understanding of the claims revenue cycle Must know how to read and interpret insurance Explanation of Benefits (EOB) statements At least 2 years of working on coding denials, and understanding of NCCI edits is preferred Solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans Time management skills, and the ability to meet deadlines is imperative education minimum of Associates degree, Bachelors preferred excel/google sheets experienced preferred CPB and /or CPC credentials are a plus US work authorization Someone who embodies being "Oaky" What does being "Oaky" look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody "Oaky" values and passion for our mission. Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $93,574.00 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. 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: 09/17/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

How strong is your resume?

Upload your resume and get feedback from our expert to help land this job