17 days old

Medicare Finance Associate

CVS Health
Cumberland, RI 02864
**Job Description**

As a Finance Associate, you will support the Third Party Medicare Team to reduce bad debt, eliminate legal risk, and help ensure compliance to all federal/state requirements and CVS Health obligations.


In this Finance Associate role, you will focus on analyzing bad debt, determining root cause and then make recommendations for process improvements with payers and/or CVS Health systems and processes. You will also perform analysis and root cause diagnosis on various Third Party activities including liabilities and remittance

exceptions.


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 solution.


**Required Qualifications**

1+ years of MS Office experience, either academically or professionally


**Preferred Qualifications**

- 1 or more years (retail pharmacy, PBM, account management)

- 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 skills


**Education**

High School Diploma or Verifiable GED required.


Bachelor's Degree preferred


**Business Overview**

**Its a new day in health care.**


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nations premier health innovation company. Through our health services, insurance plans and community pharmacists, were pioneering a bold new approach to total health. As a CVS Health colleague, youll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm . We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team at mailto:AdviceCounsel@cvshealth.com . Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com . For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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Posted: 2019-08-05 Expires: 2019-09-04

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Medicare Finance Associate

CVS Health
Cumberland, RI 02864

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