Job Details
Refund Specialist - Monroeville, PA
Job Description
The Refund Specialist ensures timely credit balance
resolution via refunds to patients, governmental agencies,
and other third party payers. The Refund Specialist is
responsible for reviewing the validity of the credit balance
by verifying accurate billing and posting procedures. This
position performs analytical activities for the
reimbursement/collections department managing
healthcare accounts receivable.
As part of the Refund team, you will work in a fast paced
and team focused environment to resolve credit balances
for insurance and patient balances. You will initiate
refunds, offsets, and adjustments, analyze issues and
search for solutions, and maintain supporting chronological
notes that detail action taken to resolve outstanding
balances.
We offer a comprehensive benefits package which
includes medical, dental, vision insurance as well as a
wide-ranging list of supplemental benefits and discount
programs. In addition to sixteen paid days off for
employees, we also offer ten paid holidays.
Our application process is 2 simple steps.
1. Apply on line
2. Take your time while completing our Virtual Job Tryout
Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
Required Qualifications
1+ years’ experience performing account reconciliation/
account review/ account resolution.
1+ years’ experience in Microsoft Office Suite, specifically
Microsoft Excel, Microsoft Outlook, and Microsoft Word
Preferred Qualifications
1+ years experience performing healthcare
reimbursement or medical insurance/billing
Education
Verifiable High School Diploma or GED required
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.