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Refund Specialist - Accounts Receivable
at CVS Health
Monroeville, PA

Refund Specialist - Accounts Receivable
at CVS Health
Monroeville, PA

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Job Description
The Accounts Receivable Representative - Credit Balances and Refunds is responsible for timely credit balance resolution via refunds to patients, governmental agencies, and other third party payers. Review 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.


Resolve credit balances for insurance and patient balances
Initiate refunds, offsets, and adjustments
Maintain supporting chronological notes that detail action taken to resolve
outstanding account balances
Analyze issues, then search for solutions
Follow liability policies and established workflows

Essential Skills

- Strong analytical skills and attention to detail
- Ability to multitask and remain focused in a fast paced environment
- Experience in MS Office, specifically Excel,Outlook, and Word
- Ability to work independently in a team environment

Required Qualifications
- 18+ months experience with healthcare reimbursement or medical insurance billing
- 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

Verifiable High School Diploma or GED required

Business Overview
It's a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

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