Revenue Cycle Analyst

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.

Position Summary
The Revenue Cycle Analyst reports directly to the Senior Manager, Reimbursements Concepts, Inc (RCI). This is a client-facing position, wherein you will support external clients. This person will play an integral role in delivering cost-effective solutions for our external clients through reporting, analytics, and database management, delivering on client expectations for RCI’s services.  

This person is responsible for completing all internal RCI reporting requirements, as well as external client reporting needs, to ensure client and departmental financial expectations are met or exceeded. 

To be successful in this role, this person will utilize home infusion software, Microsoft Excel, payer portals, and other systems, as well as their critical thinking skills, to ensure a high quality of performance. This person will also need analytical skills and verbal and written communication skills, in order to effectively communicate with internal staff and external client personnel via telephone and email.

Required Qualifications

• 3+ years of experience in revenue cycle management operations.
• 3+ years of experience in healthcare.
• Working knowledge of Medicare, Medicaid and Third-Party Insurance payers and reimbursement guidelines.
• Strong competency with Microsoft Office software applications (Outlook, Word, Excel).

Preferred Qualifications

• Excellent attention to detail, as well as the ability to handle stress and meet deadlines.
• Strong organizational skills, as well as the ability to manage multiple assignments and meet deadlines
• Knowledge of Home Infusion, DME (Durable Medical Equipment) and/or Specialty Pharmacy billing.
• Excellent customer service skills.
• Experience with medical billing and/or collections, or experience with accounts receivable (AR) and/or healthcare reimbursement systems.
• Analytical experience, including root cause analysis.
• Bachelor’s degree in Business or related field.

Education

• High school diploma or GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 https://jobs.cvshealth.com/us/en/benefits

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