Sr AnalystRevenue Cycle
Sr AnalystRevenue Cycle
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$ 46988 - 112200
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven 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.
Company: Oak Street Health
Title: Sr. Associate Revenue Cycle
Company Description
The mission of Oak Street Health is to rebuild healthcare as it should be.
We are a rapidly growing innovative company of communitybased healthcare centers delivering higher quality health and wellness care that improves outcomes manages medical costs and provides an unmatched experience for adults on Medicare.
The Oak Street model integrates outstanding clinical expertise technology and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities creating a virtuous cycle of improving community health.
We are a national organization serving over 100000 patients and we are growing rapidly. We are a diverse team of care providers service team members technologists community outreach experts business professionals and more all dedicated to our Oaky Values and motivated by our mission. Were looking forward to getting to know you!
For more information visit .
Role Description:
The Sr Revenue Cycle Associate role will be involved in the companys daytoday revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered. This role will also coach/mentor a team of peers to achieve established goals.
Core Responsibilities:
Possess strong critical thinking and problemsolving skills to work through complex payer issues within claim denials underpayments and/or missing payments
Work with billing vendor to monitor timely claim submissions and posting payments
Follow up with insurance companies on claim denials and submission of claim corrections
Experience using available tools (websites electronic medical records and payer systems) to efficiently complete eligibility lookups claim inquiries create/maintain admin and user accounts for new and terminated employees
Contact payers to obtain clarification and/or details regarding incorrect payment/denials
Maintain working knowledge of company policies for collections adjustments and writeoffs
Effectively work edits from a claim scrubbing software (NCCI Custom payer rules etc.
Analyze data from billing vendor and/or business intelligent department to identify trends and create reports for management
Extract details from medical records to substantiate billing/coding changes
Serve as a liaison between administrative and clinical staff within our clinics to resolve billing questions
Communicate effectively using helpdesk ticketing system to research clinic inquiries regarding patient statements and/or account balances
Identify process improvements and escalate to management for further review
Create documentation for training peers on new processes
Monitor metrics and productivity to ensure team is meeting established standards
Ensure practice management software is setup accurately for all new and existing locations
Accurately complete assignments in a timely manner
Adaptable to changing procedures and a growing environment
Other duties as assigned
What are we looking for
Were looking for motivated individuals with following qualifications:
The ideal candidate must know medical terminology have experience in health care accounts receivable followup and have a thorough understanding of the health claim revenue cycle workflow process
Education minimum of Associates degree Bachelors degree preferred
Knowledge of reading and interpreting insurance Explanation of Benefits (EOB) statements
At least 2 years of working on coding denials and understanding of NCCI edits is preferred
Solid understanding of insurance guidelines and principles including COB HIPAA CPT ICD10 Medicare and managed care plans
Proficiency in reading proper insurance plan and policy# from insurance ID cards
Time management skills and the ability to meet deadlines is imperative
Excel/Google Sheets experienced preferred
CPC credential is a plus
Database query or business analyst experience a plus
US work authorization
Someone who embodies being Oaky
What does being Oaky look like
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being spy
Why Oak Street
Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare as well as:
Collaborative and energetic culture
Fastpaced and innovative environment
Competitive benefits including paid vacation and sick time generous 401K match with immediate vesting and health benefits
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth/careers.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46988.00 $112200.00This pay range represents the base hourly rate or base annual fulltime 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 shortterm 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.
Nocost 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 anticipate the application window for this opening will close on: 09/17/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Required Experience:
Senior IC
Employment Type
Full-Time
