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
CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area has an opportunity for a full-time Supervisor, Copay Assistance Revenue Cycle Management (RCM). The Specialty Billing and Collections Supervisor will be responsible for leading a team of individuals responsible for the billing of Copay Assistance plans and ensuring payments are received timely from the programs. They will oversee the daily operations of the copay assistance programs, 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 Monroeville facility, this opportunity also provides free parking.
Key Responsibilities of the Supervisor, Copay Assistance Revenue Cycle Management (RCM):
- Hire, onboard, train and retrain staff necessary to achieve key metrics
- Provide scheduling to support operational hours and ensure billing and collections coverage across payer and patient time zones.
- Manage work distribution to ensure completion of all billing activities occur within the department goal.
- Monitor colleague production and track performance for a high-volume transaction area.
- 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 for accuracy and completeness.
- Complete routine billing/AR reviews, summarizing key drivers and ensuring proper steps for unbilled and open AR are being followed.
- Serve as the primary point of contact for escalated issues, troubleshooting and resolving complex cases.
- Collaborate with cross-functional teams to optimize processes and ensure regulatory adherence.
- Support your team by answering questions/resolving issues
- Review adjustments/reverse-rebill requests
- Identify opportunities for process improvement within revenue cycle
- Hold regular meetings with your direct reports
- Host Monthly Team Meetings
Required Qualifications
- 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related experience in healthcare insurance.
- 1+ year(s) of leadership experience.
- Must live within a 1-hour commute from the Monroeville, PA office
Preferred Qualifications
- 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in healthcare insurance.
- Ability to coach, manage, develop, and guide employee performance while establishing meaningful team goals and objectives in order to drive team performance.
- Ability to find creative solutions to issues and foster that type of creativeness in your team.
- Ability to develop a highly productive team through solid communications and feedback.
- Experience in a high volume, fast-paced production environment.
- Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments.
- Strong presentation skills.
- Excellent oral, written, and interpersonal communication skills.
- Prior experience with AR reporting including trending, aging, forecasting, etc.
- Skilled in use of MS Office Applications, particularly Excel.
- Ability to translate and effectively analyze large data sets.
- Highly motivated self-starter with the ability to work both independently and as a part of a cross-functional team.
Education
- Verifiable High School Diploma or GED required.
- Bachelor’s Degree preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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
We anticipate the application window for this opening will close on: 08/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
