Senior Lead Coordinator, Revenue Cycle, CVS Health

CVS Health

Location:
United States, Orlando

Category:
Customer Service

Contract Type:
Employment contract

Salary:

18.50 - 31.72 USD / Hour

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Job Description:

CVS Health Specialty Pharmacy, a mail service pharmacy in the Orlando area has an opportunity for a full-time Medical Collections Team Lead. As a Medical Collections Team Lead, you will ensure timely and accurate collections for outstanding claims, provide new hire training, resolve escalations and claim payment denials while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate collections from insurance payers.

Job Responsibility:

Support the Medical Collections Team, providing guidance, training, and support to team members
Provide new hire training and maintain training documents
Claims Collection Management: Lead the team in collecting or requesting rework on claims (both paper and electronic) to insurance payors for reimbursement, ensuring accuracy and timeliness
Ensure the maintenance of detailed supporting and chronological notes that document actions taken to resolve unpaid claims
Oversee the completion of collection reports, queues, or projects and initiatives as well as the collection process, ensuring accuracy and compliance with the billing standards required by various payers
Resolve escalations, complex insurance and claim issues that arise from possible incorrect or incomplete information, therapy changes, and pharmacy or shipping errors
Lead the team in researching and responding to insurance companies and governmental payors regarding payment issues or related questions through various communication channels, including telephone, internet, payor portals and written correspondence
Facilitate effective communication with patients, physician's offices, and insurance carriers to expedite billing claims
Provide training and support to team members to enhance their skills in handling these interactions
Monitor key performance indicators (KPIs) and prepare reports for leadership
Provide analysis of trends and variances to support financial decision making
Act as a liaison between the collections team and other internal departments, facilitating effective communication and collaboration

Requirements:

3+ year Healthcare Insurance related experience
Experience using Microsoft Office products specifically Excel, Outlook, and Word
Must be able to commute to the Orlando, FL office

Nice to have:

Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail
Insurance billing or collections experience
Ability to work in a team and coordinate work efforts
Excellent communication, both orally and written, organizational, problem solving and interpersonal skills
Ability to interact and communicate with stakeholders over the telephone, often in stressful situations
Ability to use independent judgment and to manage and impart confidential information
Ability to work independently
under minimal supervision
Experience with A/R reporting including: trending, aging, forecasting, etc
Ability to complete projects and adhere to deadlines
Proficiency with Excel
Proactively seeks new responsibilities and challenges
Willingly accepts change
Associates degree preferred

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Free parking

Additional Information:

Job Posted:
November 14, 2025

Expiration:
November 28, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Lead Coordinator, Revenue Cycle