Description

The Medicare Part B Operations Coordinator is responsible for supporting end to end Medicare Part B claims processing activities. This role helps ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission, including manual intervention through prescriber outreach and documentation review. This function supports the Revenue Cycle Team’s objective of timely and accurate billing of pharmacy and medical claims to third party insurers.

Position Summary

As a Medicare Part B Operations Coordinator, you will support the Revenue Cycle Medicare Part B Team in efforts to reduce bad debt, mitigate legal risk and ensure compliance with all federal, state, and CVS Health requirements.

In this role, you will assist with initiatives to collect and validate prescriber documentation in accordance with CMS guidelines. Documentation collection will be co...