Pharmacy Billing Coordinator, Revenue Cycle

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

A Brief Overview

Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.

What you will do

Monitors the revenue cycle process to ensure efficient and effective revenue capture and financial performance.

Identifies opportunities for process improvement within the revenue cycle.

Analyzes current workflows to identify bottlenecks or inefficiencies, and implements strategies to streamline processes, reduce errors, and enhance revenue cycle outcomes.

Collaborates with stakeholders to implement new technology, develop standardized procedures, and train staff on best practices.

Maintains compliance with regulatory requirements and billing regulations for healthcare revenue cycle management.

Audits process to ensure adherence to applicable regulations such as HIPAA, CMS guidelines, and coding and billing standards.

Encourages and supports a culture of innovation, experimentation, and creative problem-solving among the team.

Monitors and analyzes financial performance related to the revenue cycle and reports the financial performance of the clinical departments.

Sets individual performance goals and helps to fosters a culture of continuous improvement and accountability.

For this role you will need Minimum Requirements

1 year of medical billing and / or pharmacy billing work experience

Working knowledge of problem solving and decision making skills

Preferred Qualifications

• Certified Billing and Coding Specialist (CBCS) preferred.

Education

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is :

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on : 12 / 05 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.