Senior Revenue Cycle Collections Specialist

Role Description

As a Collector, you play an integral role in delivering cost effective solutions for our patients by working with insurance companies to resolve issues associated with our patients’ insurance claims. In this role you will:

• Ensure timely follow-up on all patient accounts.
• Escalate payer trending concerns to leadership.
• Communicate timely with external departments.
• Work with payers to ensure proper reimbursement on patient accounts.
• Identify and prepare adjustments and write-offs.
• Correct and resubmit claims (subject to policy).
• Follow-up on daily correspondence (denials, short-pays).
• Interface with insurance companies via phone and web portal to check claim status.
• Submit written correspondence to payers and patients.
• Interpret contracts with payers to ensure proper payment.
• Send initial or secondary bills to insurance companies.
• Process refunds and work to overturn insurance claim rejections.
• Maintain quality and productivity requirements.

To be successful in this role, you will utilize Excel, Outlook, and Word and your critical thinking skills to ensure a high quality of work.

As a Senior, you help develop the team utilizing CVS's core values:

• Collaborating as a subject matter expert.
• Providing guidance for issue resolution.
• Supporting new hires through side-by-side training.
• Creating and presenting job aids.
• Assisting with assigned projects.
• Driving recognition and other organizational support as needed.

Qualifications

• 1+ years of experience in a professional environment.
• 1+ years experience.

Requirements

• Home infusion or durable medical equipment (DME) experience.
• Strong attention to detail with a sense of urgency.
• Customer service skills.
• Ability to work in a team environment.
• Experience with medical billing or collections.
• Experience with accounts payable (AP) or accounts receivable (AR).
• Experience with healthcare reimbursement systems.

Education

• Verifiable High School Diploma or GED required.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.

Pay Range

The typical pay range for this role is: $18.50 - $35.29. 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.

Anticipated Weekly Hours

• 40

Time Type

• Full time

Application Information

We anticipate the application window for this opening will close on: 05/12/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.