CVS Health

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Revenue Qualification Representative

at CVS Health

Posted: 11/20/2019
Job Reference #: 1144589BR
Categories: Sales, Customer Service
Keywords: support

Job Description

Job Description
Omnicare, Inc. is a wholly owned subsidiary of CVS Health Corporation.

What We Do Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

As a Revenue Qualification Representative in our LTC Pharmacy Billing Department, you will be responsible for providing daily operational support for an assigned Revenue Cycle team to meet performance goals and enhance process efficiencies. You will be a part of a team of RQ representatives that are focused on achieving operational efficiencies & ensuring compliance with established laws, regulations, policies and procedures.

In addition, the Revenue Qualification Representative will:

- Research payer and census information with our clients to help guide and ensure accurate invoicing.
- Support our billing processes for facility and private pay customers in OmniDX or Oasis.
- Suggest changes to department policies and procedures as appropriate.
- Drive for productivity goals, push for daily progress and achievement, and recommend measures for improvement.
- Learn all billing systems and accurately respond to questions regarding client invoicing and adjustments while ensuring compliance.
- Support collection and reimbursement strategies and initiatives to improve operations and results.
- Engage in training for new employees and provide ongoing training as needed.
- Complete semi-annual & annual performance assessment and provide timely feedback to management.

Required Qualifications
Minimum of 1 year of experience in the below qualifications:

- Pharmacy and/or billing experience
- Experience using Microsoft Office Suite

Preferred Qualifications
- Healthcare industry and/or Medical Billing experience.
- Minimum of 1-3 years of experience working in an office/business setting
- Prescription third party claims management experience

High School Diploma or equivalent

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!