About the team OpenAI’s mission is to ensure the responsible and widespread adoption of artificial intelligence. In support of that mission, the Sales team partners closely with customers to deeply understand their businesses and needs, helping inform the development of products and solutions that drive meaningful revenue growth and long-term success on the platform—while maintaining strong standards for user trust and platform integrity. About the role This role is focused on driving new and expanded advertising revenue and ensuring successful business results for advertisers. You will own the full sales cycle — from prospecting to deal closure, developing long-term commercial partnerships to help advertisers achieve their business objectives while ensuring a strong and responsible experience on our platform. You’ll work closely with Account Managers and key cross-functional partners to ensure advertisers achieve successful outcomes after the sale, while maintaining primary ownership of revenue growth and commercial strategy. In this role you will: Prospect, qualify, and close new advertising opportunities, leading the full sales cycle from initial engagement through contract execution. Own and achieve a defined revenue target within an assigned territory or vertical. Develop and execute structured account plans to drive advertiser ROI and long-term revenue growth. Build and maintain relationships with senior-level advertising decision-makers, delivering strategic guidance and actively gathering their feedback. Structure and negotiate complex commercial agreements. Quantify opportunities through clear, data-driven business cases aligned to advertiser objectives. Lead cross-functional collaboration across Product, Engineering, Marketing, Policy, and Operations to support complex deals. Partner with Account Managers to ensure seamless post-sale transitions and coordinated expansion strategies. Maintain rigorous pipeline management and accurate revenue forecasting. Yo
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Role overview
Job description
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.
Position Summary
As the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact.
You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes.
The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are:
- Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims.
- Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing.
- Monitor claims submissions and follow up on pending claims to expedite resolution and payment.
- Identify trends in claims denials and develop strategies for improvement.
- Conduct training sessions for staff on best practices for claims submissions and compliance.
- Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims processing.
- Prepare reports on claims performance metrics and communicate findings to leadership.
- Act as a liaison between our organization and payers to resolve complex claims issues.
- Provide guidance and support to coordinators and staff members, fostering a culture of teamwork and excellence.
- Ensure compliance with all regulatory requirements and organizational policies related to claims processing and patient data management.
- Analyzes current workflows to identify bottlenecks or inefficiencies, and implements strategies to streamline processes, reduce errors, and enhance revenue cycle outcomes.
- Collaborates with stakeholders to implement new billing and coding technology, develop standardized procedures, and train staff on best practices.
- Coordinates with external stakeholders such as insurance companies, vendors, and patients, to resolve and/or clarify billing and reimbursement issues.
- Coordinates the implementation of internal controls and billing procedures to ensure the integrity and accuracy of reconciliation activities.
- Join forces with Payers, Payer Business Partners, Sales, Internal Department to secure needed documentation required to complete billing
- Ensure documentation aligns with the request and validate its accuracy and timely submission
- Performing detailed review and analysis of unbilled claims including but not limited to benefits and eligibility verification and prior authorization review prior to confirm accuracy prior to billing
Required Qualifications
- 2+ years experience in medical benefit insurance verification
- 18+ months of experience as a Medical Billing or Collections Specialist
- High level of proficiency with Excel.
- Excellent communication, organizational, problem solving and interpersonal skills.
- Extreme accuracy and attention to detail and data standards.
- Must live within a 1 hour commute to the Monroeville office.
Preferred Qualifications
- Ability to work in team and coordinate work efforts.
- Experience with A/R reporting including trending, aging, etc.
- Proficient in all Revenue Cycle systems
- Experience using One Note
Education
- Associates degree or equivalent work experience may substitute.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$18.50 - $35.29This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What they are looking for
Skills & requirements
Qualification
Associates degree or equivalent work experience may substitute
Hiring company
Cvshealth
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