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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