Finance Consultant - Specialty AR Compliance

Save
You need to sign in or
create an account to save a job.
Job Description
The Consultant, Finance is responsible for the review, update and maintenance of the Medicaid regulation system files used to support Specialty A/R billing activities. Additionally, the Consultant, Finance may assist the audit team by pulling necessary documentation for audit requests as needed. (i.e. internal, external, Onsite audits, Medicaid, PDE, etc.).

- Responsible for understanding and effectively updating each data field of the Medicaid regulations system files
- Clean and update Medicaid regulation system files in compliance with the update schedule
- Research Medicaid codes and other state-published guidance
- Receive Medicaid payer notices, remain informed of payer regulation changes and retain notices for future reference.
- Ensure that necessary departments are notified of changes to the Medicaid regulation system files
- Assist the audit team in pulling necessary documentation as needed to support prompt audit request responses
- Assist with educating staff on departmental policies and procedures
- Assist with any enterprise or department special projects, as needed

Required Qualifications
- 1-3+ years of health care billing and/or revenue cycle experience.
- 1+ years of MS Office experience.

COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- Bachelor's degree (B.A.) from four-year college or university; or 3-5 years related industry
experience and/or training; or equivalent combination of education and experience
- 1+ years of Medicaid regulations experience
- Previous SharePoint experience a plus
- Demonstrated ability to handle multiple tasks simultaneously and to prioritize accordingly
- Proven ability to work with a high degree of accuracy and attention to detail
- Excellent verbal and written communication skills
- Able to work effectively with other internal/external functional departments

Education
High School Diploma or GED required
Bachelor's Degree preferred

Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.