Analyst, Revenue Cycle(CPB or CPC preferred))

CVS Health Corporation

Job Overview

Location

IL - Work from home

Job Type

Full-time

Full Job Description

📋 Description

• As a Revenue Cycle Analyst at CVS Health, you will play a critical role in ensuring the financial health of the organization by managing the end-to-end revenue cycle process, from claim submission to payment posting, directly impacting the company’s ability to deliver accessible, affordable, and high-quality healthcare services to millions of patients across the nation.
• Your work ensures timely and accurate reimbursement from insurance providers, reduces revenue leakage from denials and underpayments, and supports CVS Health’s mission to simplify healthcare one person, one family, and one community at a time by maintaining financial integrity in patient billing operations.
• On a day-to-day basis, you will ensure payments are collected timely and in full from payers by performing diligent accounts receivable follow-up on denied, underpaid, or missing claims, using payer portals, EMR systems, and electronic tools to identify root causes and initiate corrective actions.
• You will work directly with insurance companies to appeal denials, make necessary coding or documentation corrections, and resubmit claims for reimbursement, while also processing and uploading checks and electronic payments for accurate cash posting to patient accounts.
• You will review and approve patient statements prior to mailing to ensure accuracy and compliance, analyze billing data to identify trends in denials or payment patterns, and generate actionable reports for management to drive process improvements.
• You will collaborate closely with clinic administrative staff and external billing vendors to resolve billing inquiries, communicate effectively via helpdesk ticketing systems to address patient statement questions, and contact payers to obtain clarification on incorrect payments or denial reasons.
• You will maintain proficiency in reading insurance plan details and policy numbers from insurance ID cards, navigate multi-payer web portals with ease, and extract relevant details from medical records to substantiate billing coding changes when needed.
• You will effectively work within claim scrubbing software to resolve edits before submission, accurately complete all assignments in a timely manner, and maintain up-to-date working knowledge of company policies regarding collections, adjustments, and write-offs.
• You will apply strong critical thinking and problem-solving skills to resolve complex payer issues such as denials, underpayments, and missing payments, while remaining adaptable to evolving procedures in a growing and dynamic healthcare environment.
• You will be part of a dedicated, mission-driven team at CVS Health that values innovation, accountability, safety, and compassion—where colleagues are empowered to improve healthcare access and affordability through operational excellence and data-informed decision-making.
• In this role, you will develop deep expertise in healthcare revenue cycle management, medical billing and coding (including CPT, ICD-10, HCPCS), insurance guidelines (COB, HIPAA, NCCI edits), and EPIC systems—skills that are highly transferable and in demand across the healthcare industry.
• You will gain hands-on experience with data analysis, reporting, and process improvement initiatives, positioning you for advancement into senior analyst, supervisory, or specialized roles within CVS Health’s Finance, Operations, or Healthcare Services divisions.

🎯 Requirements

• Minimum of an Associate’s degree; Bachelor’s degree preferred
• At least 2 years of experience in healthcare accounts receivable follow-up and claims revenue cycle management
• Proficiency in reading and interpreting insurance Explanation of Benefits (EOB) statements
• Solid understanding of insurance guidelines and principles including COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans
• Experience with EPIC electronic medical records system
• Familiarity with multi-payer web portals and claim scrubbing software
• Ability to extract details from medical records to support billing coding changes
• Strong time management skills and ability to meet deadlines consistently
• CPB (Certified Professional Biller) and/or CPC (Certified Professional Coder) credentials preferred
• Proficiency in Excel or Google Sheets for data tracking and reporting
• US work authorization required

🏖️ Benefits

• Affordable medical plan options with comprehensive coverage for employees and families
• 401(k) plan with company matching contributions to support long-term financial wellness
• Employee stock purchase plan allowing colleagues to invest in CVS Health at a discount
• No-cost wellness programs including screenings, tobacco cessation, weight management, confidential counseling, and financial coaching
• Generous paid time off, flexible work schedules, family leave, dependent care resources, tuition assistance, and retiree medical access based on eligibility

Skills & Technologies

Onsite

Degree Required

Ready to Apply?

Apply Externally

You will be redirected to an external site to apply.

CVS Health Corporation

Visit Website

About CVS Health Corporation

CVS Health Corporation is an American healthcare conglomerate headquartered in Woonsocket, Rhode Island. It operates retail pharmacy chains, pharmacy benefit management services, and health insurance through Aetna. The company fills prescriptions, provides walk-in clinics, administers vaccinations, and manages drug plans for insurers and employers. CVS Health also offers specialty pharmacy, infusion, and long-term care services across the United States.

View Company Profile

Get more remote jobs like this

Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.

Weekly remote jobs and featured talent.

No spam. Only curated remote roles and product updates. You can unsubscribe anytime.