Billing Supervisor, Medicaid Team

CVS Health Phoenix , AZ 85002

Posted 1 week ago

Job Description:

As a Billing Supervisor for the Infusion Accounts Receivable (A/R) department, you will be responsible for providing leadership for assigned Patient Financial Services (PFS) teams. You will oversee a team of medical billing specialists that are responsible for ensuring accuracy of information on unbilled claims in a timely and accurate manner, researching and resolving any claims submission errors, and managing the accurate and timely filing of claims within payer function group.

Additional responsibilities of the Billing Supervisor include:

  • Oversee day-to-day operations of teams to ensure timely and accurate completion of all PFS activities

  • Monitor and strive to continually improve the submission of payer claims in accordance with the respective contract

  • Assist management with meetings with key payers to discuss billing issues and payer publication notices affecting claims processing changes

  • Ensure daily reconciliation of electronic claim files

  • Maintain productivity and quality standards of all PFS functions

  • Review accounts receivable adjustments for accuracy and submit adjustment requests as defined by departmental policies and procedures for upper management approval

  • Maintain compliance with government reimbursement programs

  • Suggest changes to department policies and procedures as appropriate

  • Work with management to complete disciplinary action as required

  • Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed

  • Complete annual performance reviews for employees and provide timely feedback

  • Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encourage and support employee decision-making within his or her scope of responsibilities

  • Develop and maintain "super user" capabilities in technology applications and all other related information systems, tools, technologies, and processes; assist other employees as needed to ensure all tools are fully utilized to create an efficient and effective department

  • Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices"

  • Work with key business partners and peers across the organization; work with Intake and Analytics department to communicate trends and suggest process improvements to revenue cycle

Required Qualifications

  • 3+ years of demonstrated leadership or supervisory experience in any industry
  • 2+ years of Revenue Cycle Operations experience within billing or collections
  • 1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook and Excel

Preferred Qualifications

  • Clear understanding of how Collections and Billing impacts Revenue Cycle operations and financial performance

  • Home healthcare experience, preferably in pharmacy settings

  • Experience in managing projects involving the collaboration, motivation and cooperation of a wide variety of people with whom there is no direct reporting relationship

  • Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment

  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality

  • Six Sigma certified

  • Project management experience

  • Advanced data analysis in Excel

Education

Verifiable High School Diploma or GED is required.

Bachelor's Degree is preferred.

Business Overview

It's a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 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. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.


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