Insurance AR Resolution Coordinator, Revenue Cycle (Remote)

CVS Health • Rhode Island, Rhode Island • 1h ago

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.

Essential Functions:

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.

Required Qualifications

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.

Preferred Qualifications

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.

Education

High School Diploma or General Equivalent Development (GED), required.

Associates Degree, preferred.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time 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 short-term 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 06/26/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

Similar Jobs

Analyst, Financial Reporting & Analysis - Statutory Reporting

CVS Health • Rhode Island, Rhode Island • 7h ago

Finance, Accounting & Banking

7h ago

Go to Apply

Senior Analyst, Indirect Tax

CVS Health • Cumberland, RI • 7h ago

Finance, Accounting & Banking

7h ago

Go to Apply

Senior Analyst, Treasury

CVS Health • Cumberland, RI • 7h ago

Finance, Accounting & Banking

7h ago

Go to Apply

Distinguished Engineer , Bank Tech (Remote- Eligible)

Capital One • Providence, RI • 1d ago

Finance, Accounting & Banking

Distinguished Engineer , Bank Tech (Remote- Eligible) As a Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to define the future of banking in the cloud. You will work...

1d ago

Go to Apply

Workers' Compensation Senior Claim Representative

The Hartford • Providence, RI • 2d ago

Finance, Accounting & Banking

Sr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your g...

2d ago

Go to Apply

Workers' Compensation Claim Representative

The Hartford • Providence, RI • 2d ago

Finance, Accounting & Banking

Claims Representative - CH09CN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goal...

2d ago

Go to Apply

Supervisor, Blood Bank (NE) - SJH

Charter Care Health Partners • North Providence, RI • 2d ago

Finance, Accounting & Banking

Summary : Under the direction of the Laboratory Manager the Blood Bank Supervisor performs all testing performed in the Blood Band including various procedures in ABO Compatibility testing, antibody detection and identif...

2d ago

Go to Apply

Business Banking Underwriting Manager

U.S. Bank • Providence, RI • 2d ago

Finance, Accounting & Banking

Spokane, Washington residents: If a street address is not available, enter N/A when completing a job application. At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make bet...

2d ago

Go to Apply

Credit Analyst 6

U.S. Bank • Providence, RI • 2d ago

Finance, Accounting & Banking

2d ago

Go to Apply

Finance Sr Manager

Citizens • Johnston, RI • 2d ago

Finance, Accounting & Banking

Description You're made ready to continue a fulfilling career with exciting new challenges and opportunities to stretch yourself. In the role of the Finance Senior Manager, you will play a critical role in ensuring the f...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)