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Job Title :
Senior Consultant, Revenue Cycle
Job ID :
732214BR
Location :
AZ - Phoenix
Street Address :
444 North 44th St.
Category :
Billing & Collections|Information Systems
Description :
Job Description
Asa Senior Consultant, Revenue Cycle you will be part of our growing team at ourbrand new Phoenix facility. Asa Consultant for the Infusion Accounts Receivable (A/R) department, you will beresponsible for development and delivery of billing and collections related topayer initiatives within the Revenue Cycle at CVS Health. You willoversee and ensure compliance with A/R policies, procedures and best practices,communicating directly with the payers to update and maintain all payer guidelinesand add to the internal billing grid.

Additional responsibilities of the Senior Consultant, Revenue Cycle include:
· Assess revenue cycle processesand how they align to the overall strategic goals of the department.
· Work with revenue cycle managementto identify payer problems.
· Evaluate and analyze systemreports to identify problems and trends in reimbursement.
· Direct, lead, and conduct payermeetings to discuss and resolve problems.
· Ensure that system informationis updated and accurate based on payer requirements.
· Work with sales personnel toobtain payer guidelines, pricing, risk information, documentation required andauthorization parameters.
· Secure commitments from payersfor account payment and resolution.
· Assist in payer transition toECS, ERA and EFT processes.
· Work with branches, billingcenters and regions to identify and evaluate processes which impact cashcollections and A/R reduction.
· Develop and implement actionplans for improvement.
· Ensure that practices areconsistent with payer requirements for timely reimbursement and compliance.
· Ensure that billing andcollection procedures are consistent throughout the Region.
· Communicate changes in contractguidelines and payer requirements as necessary.
· Evaluate and analyze systemreports to identify problems and trends in reimbursement.
· Prepare trended A/R informationfor payers. Direct communication within region and billing center with respectto payer discovery.
· Thoroughly document all payercontacts, discussions, and resolutions.
· Ensure that effectivecommunication regarding payer management occurs within the branches, billingcenters, and regions.
· Implement and ensure compliancewith accounts receivable policies, procedures and "best practices".
· Performs other related dutiesas directed by supervisor.


Required Qualifications
4+ years of healthcare revenue cycle experience (billing or collections) working with a variety of payers.
3+ years of experience using the Microsoft Office Suite, specifically Word, Excel PowerPoint and Visio.

Preferred Qualifications

Familiarity with Home Infusion, Specialty or DME revenue cycle (billing or collections)

Experience working with revenue cycle applications and healthcare finance and accounting principles.
Knowledge of federal, state and commercial payer reimbursement rules and regulations.
Excellent verbal and written communication skills. Strong analytical skills essential to identifying opportunities to improve revenue cycle management.

Education
Verifiable High School Diploma or GED is required. Bachelor’s Degree is highly preferred.

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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