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Insurance AR Resolution Coordinator, Revenue Cycle

United States, Work at Home Employment contract 17.00 - 31.30 USD / Hour · Job Posted May 31, 2026
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Job Description

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Third-Party Revenue Cycle Management (RCM), supporting CVS Retail Pharmacies, has an opportunity for a full-time Insurance AR Resolution Coordinator. As an Insurance AR Resolution Coordinator, you will perform timely and accurate review, research, and resolution of claims and payment exceptions within assigned Third-Party accounts. The role supports revenue cycle performance by identifying payer issues, coordinating resolution activities, supporting remittance and deposit exception processing, and contributing to process improvements that reduce bad debt and ensure compliance with federal, state, and CVS Health requirements. Success in this role requires analytical thinking, attention to detail, and the ability to follow established procedures while exercising judgment to escalate or recommend resolution paths as appropriate. As part of the account management team, you will work in a fast paced and team focused environment to ensure timely and accurate AR resolution. We will support you by offering the tools and resources you need to be successful in a collaborative team environment.

Job Responsibility

  • Analyze claim and payment exceptions to determine appropriate resolution steps
  • Research claims through payer portals or direct payer outreach using established guidelines
  • Accurately document actions taken and outcomes achieved
  • Escalate issues that fall outside of defined procedures with recommendations
  • Maintain regular and predictable attendance and meet productivity and quality standards
  • Handle sensitive financial and patient information in compliance with HIPAA and company policies
  • Perform additional related duties as assigned by management

Requirements

  • Proficiency with Microsoft Office applications (Word, Excel, Outlook)
  • Strong attention to detail with the ability to manage routine, repeatable work accurately
  • Ability to follow documented procedures and guidelines
  • Effective written and verbal communication skills with internal and external partners
  • Ability to work independently within scope and escalate appropriately when issues require additional support
  • Strong organizational skills and ability to manage multiple tasks simultaneously
  • High School Diploma or General Equivalent Development (GED), required.

Nice to have

  • Experience in retail pharmacy, PBM, Third Party billing, or healthcare revenue cycle operations
  • Prior experience with collections, accounts receivable, or remittance processing
  • Experience reviewing reports and identifying trends or process gaps
  • Ability to draft clear written instructions or documentation for peers or downstream partners
  • Previous exposure to payer portals, claim research tools, or billing support systems
  • Associates Degree

What we offer

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • CVS Health bonus, commission or short-term incentive program

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