Insurance AR Resolution Coordinator, Revenue Cycle (Remote)

Insurance Ar Resolution Coordinator

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.

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.

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

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $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.