Job Description The Director – Minute Clinic Revenue Cycle is a key leadership position within CVS Health’s Finance Operations organization responsible for leading a team and vendor relationships that drive timely and comprehensive collections. As the Revenue Cycle Director you will be expected to provide leadership and oversee key operational and financial processes, making decisions for the Patient Financial Services (PFS) team to improve performance and
efficiencies. You will lead your team to achieve operational efficiencies, and ensure compliance with established laws, regulations, policies and procedures.
With your in-depth understanding and experience in medical billing, you will lead the end to end billing, claims adjudication and denial management for all portfolios managed through the Epic and Athena platforms, including audiology and optometry, approximately $500M in revenue and 50K denials per month. In addition, you will lead the strategic initiatives related to improvement in patient collections and associated write-offs. You will partner with business operations leaders to ensure alignment and accountability in the entire cycle of patient registration, payer contracting and time of service payments.
- Leading the end to end claims adjudication process, including denial/rejection/appeal management and patient responsibility collection efforts for all claims adjudicated through the Athena platform Develop tools to track efficiency of workflow, as well as creating work lists to monitor productivity and create accountability - Lead the monthly revenue cycle reporting, including presentations to senior leadership, KPI monitoring, dashboard development/enhancement - Serve as an active member of the Senior Management Team for Minute Clinic, collaborating with team members to execute the strategic objectives of Minute Clinic Partner with Regional Directors and Payer Relations to ensure contracting aligns with billing capabilities and set-up, as well as ensuring compliance with all laws and regulations in states where MC operates.
Required Qualifications- Minimum of 5 years of leadership experience - Minimum of 5 years of revenue cycle experience Preferred Qualifications- Medical revenue cycle experience strongly preferred
- In depth knowledge of medical billing, including national, local and government payer contracts, with specific experience in claims denial management for a national provider - Prior experience with medical billing systems (i.e. Athena or Epic), ability to identify gaps in current technology and lead the implementation of new solutions/functionality - Working knowledge of all Microsoft Office applications, specifically, Excel and PowerPoint - Excellent communicator, both verbal and written, with the ability to interact and influence at all levels of the organization - Results driven, with a desire to work in a fast paced environment that values collaboration, integrity and accountability Education - Bachelor’s Degree or equivalent years of related professional work experience in combination with education may be considered in lieu of a degree. Business Overview
MinuteClinic is the largest provider of retail health care in the nation and continues to be reaccredited by The Joint Commission. MinuteClinic’s unique structure and approach to health care offers a rewarding alternative to the traditional patient care practice, focused on autonomy, empowerment, education and evidence-based patient care. MinuteClinic operates the most retail clinics in the nation and is partnered with some of the largest health care systems in the country!
With MinuteClinic, you have the unique opportunity to manage your clinic and treat your own patients, in an autonomous environment, always knowing you have the support of your colleagues, managers and collaborating physicians, behind you. Led by our expert clinicians and guided by our evidenced based practices, MinuteClinic moves the treatment of common illnesses forward and provides the high-quality care you might expect from traditional patient care settings.
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
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