Senior Revenue Qualification Representative - SSC LTC

  • Company: CVS Health
  • Location: Phoenix, Arizona
  • Posted: June 21, 2017
  • Reference ID: 637618BR
Position Summary:
As a Senior Revenue Qualification Representative in our LTC Pharmacy Billing Department, you will be responsible for providing daily operational support for an assigned Revenue Cycle team to meet performance goals and enhance process efficiencies. You will be a part of a team of RQ representatives that are focused on achieving operational efficiencies & ensuring compliance with established laws, regulations, policies and procedures.

In addition, the Senior Revenue Qualification Representative will:
Research payer and census information with our clients to help guide and ensure accurate invoicing. Support our billing processes for facility and private pay customers in OmniDX or Oasis. Suggest changes to department policies and procedures as appropriate Drive for productivity goals, push for daily progress and achievement, and recommend measures for improvement.
Learn all billing systems and accurately respond to questions regarding client invoicing and adjustments while ensuring compliance. Support collection and reimbursement strategies and initiatives to improve operations and results. Engage in training for new employees and provide ongoing training as needed Complete semi-annual & annual performance assessment and provide timely feedback to mgmt Your work as a Senior Revenue Qualification Representative will influence and enhance our Revenue Cycle team while making a difference in the lives of our customers.Our purpose is to help people on their path to better health … come join the leadership team of CVS Health, where health is everything.

#OMC #PHXFinance

Required Qualifications:
3 plus years of experience with the below qualifications:
  • Pharmacy and/or billing experience.
  • Experience using Microsoft Office Suites

Preferred Qualifications:
  • Healthcare industry and/or Medical Billing experience.
  • Minimum of 1-3 years of experience working in an office/business setting.
  • Prescription third party claims management experience.
  • College degree preferred.
  • Basic knowledge of insurance procedures
  • Ability to work in a fast paced, rapidly changing environment.
  • Excellent verbal and written communication as well as listening skills.
  • Intermediate computer and typing skills.

  • Verifiable GED or High School Diploma required

Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

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 AA EEO CVS Health

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:

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