Senior Lead Coordinator, Revenue Cycle

Billing And Collections Revenue Cycle Management Team Lead

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Billing and Collections Revenue Cycle Management Team Lead. As a Team Lead, you will ensure timely and accurate billing and collections for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing and collections to copay assistance programs.

We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment.

Located in the Monroeville facility, this opportunity also provides free parking.

Key Responsibilities of the Billing and Collections Revenue Cycle Management Team Lead :

• Review routine reports to ensure department Key Performance Indicators and Metrics are consistently met. Provide feedback to leaders and colleagues regarding areas of success and concern and suggest mitigation plans.
• Identify and quantify trends and variances. Effectively communicate information to the appropriate members of the management team along with the potential impact.
• Assist leadership in building and maintaining a high performing, highly engaged team.
• Provide excellent mentorship and support to the department's colleagues.
• Assist in designing and implementing department level training programs and lead job specific training for department new hires and for upskills training.
• Assist with working complex accounts related to insurance billing and collections and other third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.
• Resolve complex insurance problems and patient inquiries that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
• Maintain supporting and chronological notes that detail action taken to resolve billing edits.
• Maintain patient demographic and insurance information and data collections systems, including all.
• Complete billing reports, queues, or diversions according to payer and company policy guidelines.
• Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.
• Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims.

Required Qualifications :

Preferred Qualifications :

Education :

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $18.50 - $35.29. 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.

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 :

We anticipate the application window for this opening will close on : 12 / 19 / 2025.

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