Supervisor, Revenue Cycle

Supervisor, 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.

CVS Health Specialty Pharmacy, a mail service pharmacy in the Orlando area has an opportunity for a full-time Supervisor, Revenue Cycle. The Specialty RCM Supervisor will be responsible for leading a team of individuals responsible for the billing and collections of Medical and Pharmacy claims and ensuring payments are received timely from the payers. They will oversee the daily operations of the billing and collections team, ensuring accurate and timely processing of transactions. This includes timely follow-up of all open AR and providing routine reporting to leadership. The Supervisor acts as a key liaison between internal teams and external partners, fostering collaboration and a culture of continuous learning. As part of this team, you will work in a fast paced and team focused environment.

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

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

Work Hours : 8 : 00AM-4 : 30PM EST

Hybrid Role : Six days a month onsite at the Orlando office or as needed (Subject to change depending on business needs.)

Key Responsibilities of the Supervisor, Revenue Cycle :

• Hire, onboard, train and retain staff necessary to achieve key metrics
• Provide scheduling to support operational hours and ensure billing and collections coverage across multiple shifts
• Responsible for various administrative duties such as payroll, timesheet review, interviews, disciplinary notices, performance reviews, staff pay rate recommendations, and resolving personnel matters
• Oversee day to day employee metrics, productivity, and tracking colleague performance for a high volume transaction area
• Quality check claims to ensure effectiveness of financial controls, claim accuracy, increase collection rate and reduce bad debt
• Coach and mentor staff, providing research and best practice advice on escalated billing and accounts receivable issues
• Develop, maintain, and review Job Aids, Workflows and Policy & Procedures
• Generate and analyze standard reports to efficiently and effectively implement impact based goals on functional area
• Perform tracking, trending and driving claim issues for improvement and resolution on multiple lines of business, ensuring timeline and deliverables are met for current initiatives
• Own and foster good working partnerships with internal and external business partners including, IT, Front end operations, Pharmacists and Payor Relations Team to verify claims and / or discuss any claim issues that may occur
• Execute finance end of month deliverables, team summaries and required presentations
• Identify opportunities for process improvement within revenue cycle
• Hold regular meetings with direct reports
• Host Monthly Team Meetings
• Support other duties as deemed necessary

Required Qualifications :

Preferred Qualifications :

Education :

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $43,888.00 - $76,500.00

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 :