Medical Accounts Receivable Associate

Job DescriptionAs a Revenue Cycle Associate, you will support the Third Party Medical Account Management team to reduce bad debt, eliminate legal risk, and help ensure compliance to all federal/state requirements and CVS Health obligations.Additional responsibilities of the Finance Associate include:- Performing trend analysis on Payer exceptions, reviewing reports and current procedures, identifying issues, recommending/implementing process improvements, and ensuring compliance.- Timely and accurate application of remittance to open deposits through manual processing of remittance files.- Closely monitoring open deposit exceptions and contacting remittance processors, payers, and/or other internal departments to resolve issues associated with missing/incomplete remittance files.- Coordinate files for write offs and work closely with our system partners by attending requirement meetings, reporting defects and following up on the resolution; recommending and writing change requests as well as implementing a short term solutionPay RangeThe typical pay range for this role is:Minimum: 17.02Maximum: 27.16Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications1+ years of MS Office experience, either academically or professionallyMust be willing to come into the office at least 2 days a week.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications1+ year(s) in retail pharmacy, PBM, account management- Rhode Island Pharmacy Technician License (Tech II)- CPhT Certification by PTCB- Prior experience in collections and/or accounts receivables/payables preferred- Good diagnostic and organizational skills with a strong attention to detail, accuracy, and follow through.- Demonstrated ability to communicate clearly, accurately and tactfully, both verbally, and in writing, with both internal and external business partners.- Ability to make intelligent decisions independently and/or escalate issues, with contributing recommendations for resolution of issues/process improvements, to next level managers for resolution.- Ability to work individually, with a team, and with their manager to systematically identify and define problems.- Ability to receive guidance and supervision, follow instructions and procedures.- Ability to write clear instructions for store personnel and peers to follow to minimize bad debt for future fills.- Ability to identify preventive solutions to be administered during the fill process to reduce denied claims.- Demonstrated ability to communicate clearly, accurately and tactfully, both verbally and in writing- Flexibility to adapt to a changing environment, quickly making sound decisions- Ability to work individually or with a team with supervision- Strong organizational skills, attention to detail, accuracy and follow through- Proficient in the Microsoft Office Applications (Word, Excel, Access and Outlook)- Knowledge of medical billing and/or Medicare Part B Policy and Regulations- Ability to work in strict confidence, ensuring the confidentiality of the patient and medical and financial records, at all times, in compliance with the company and HIPAA Privacy guidelines.- Ability to complete routinely assigned work based on productivity standards using strong problem solving skillsEducationHigh School Diploma or Verifiable GED required.Bachelors Degree preferredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.

Created: 2025-11-15