More jobs:
Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle
Job in
Woonsocket, Providence County, Rhode Island, 02895, USA
Listed on 2026-07-12
Listing for:
9025 CVS Shared Services Resources LLC
Full Time
position Listed on 2026-07-12
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding, Healthcare Compliance, Healthcare Management
Job Description & How to Apply Below
Position Summary
Minute Clinic Accounts Receivable Associate, Senior Coordinator, is responsible for managing a high volume of medical claims, reviewing and correcting denied claims, and handling refund requests and over payments to ensure compliance with payer guidelines, Medicare, and Medicaid.
Responsibilities- Manage a high volume of denied medical claims by accurately reviewing, correcting, and resubmitting within payer guidelines.
- Represent the Accounts Receivable area to internal departments, external departments, clients, vendors, and processors, providing clear situational updates and support.
- Identify and quantify trends/issues, develop potential solutions, and communicate them to management with impact analysis.
- Prioritize and manage outstanding refund requests and over payments, supporting contract and legal adherence with all payers.
- Identify and implement process efficiencies, including automation opportunities and workflow enhancements, to reduce manual effort and improve productivity and compliance.
- Recognize and address coding deficiencies, taking appropriate action in accordance with compliance and CMS regulations.
- Identify key stakeholders or primary contacts within payer communities to drive more effective processes.
- Clear understanding of medical billing intricacies in ambulatory care, physician/provider offices, or professional billing settings.
- Knowledge of CPT, ICD‑9/10, CMS 1500 claim formatting, EDI transmission, electronic health records, or encounter charge creation.
- Familiarity with HIPAA, PHI, and other regulatory requirements for claim data compliance.
- Minimum of 2 years of medical billing or health‑plan claims adjudication experience.
- 3–5 years of medical billing or health‑plan claims adjudication experience.
- Technical certificate in medical billing.
- Proficiency in Microsoft Office (Excel, Outlook, Word).
- Strong time‑management skills and ability to multitask.
- Experience with Athena Practice Management.
High School Diploma or GED (verifiable).
Pay Range$18.50 – $42.35 (hourly or annual salary, depending on position grade).
BenefitsComprehensive benefits package including medical, dental, vision, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.
EEO StatementQualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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