Senior Accounts Receivable Specialist
Location:
Rancho Cordova , California
Posted:
November 22, 2017
Reference:
712734BR
Position Summary:

As aSenior Accounts Receivable Specialist for our Infusion Accounts Receivable(A/R) Department, you will be responsible for completing Patient FinancialServices (PFS) tasks such as billing and/or accounts receivable follow-up withpayers and maintaining quality and productivity requirements as outlined in theposition performance expectations. You will process and submit accurate andtimely claims to payers, analyze and research unpaid claims, and assist in theresolution of denials, partial payments, and payment variances.

Additional responsibilities of the Senior Accounts Receivable Specialistinclude:

  • Maintain and release all-ship-verified claims for all third party claim (commercial or government) accounts within established time-frame as assigned
  • Resolve errors and make claim edits assigned in work queues
  • Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims
  • Contact payers and patients when necessary for PFS processes
  • Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS processes
  • Make necessary adjustments to patient demographic, insurance, and account balance information
  • Complete A/R adjustments where permitted and appropriate; request other adjustments where permitted and appropriate
  • Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"


Required Qualifications:

A
minimum of 3 years of experience in the following:
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  • mso-fareast-font-family:"Times New Roman"">Performing healthcare
    reimbursement, medical insurance billing/collects, credit review or
    related work
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  • mso-fareast-font-family:"Times New Roman"">Working with Microsoft Office,
    specifically Excel, Outlook and Word Call center experience in both
    in/outbound setting Use of multiple finance systems in the past
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Preferred Qualifications:

  • mso-fareast-font-family:"Times New Roman"">Prior related healthcare
    Revenue Cycle experience, preferably within Collections and Billing
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  • mso-fareast-font-family:"Times New Roman"">Knowledge of healthcare
    billing, collections practices, and/or infusion services
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  • mso-fareast-font-family:"Times New Roman"">Exceptional communication,
    customer service skills, and phone etiquette
  • mso-fareast-font-family:"Times New Roman"">Familiarity with customer
    service expectations, computer processing, and medical and billing office
    terminology
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  • "Times New Roman"">Faster learner Strong communication over both the phone
    and email
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Education:
High School Diploma/GED required

Business Overview:
Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

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