Medical Reimbursement Representative - Remote

Overview

As a Medical Reimbursement Representative at CVS Health®, you will play a crucial role in ensuring timely and accurate reimbursement for patients by working closely with insurance companies and managing patient accounts.

In Short

• Work with insurance companies to resolve claims issues
• Ensure timely follow-up on patient accounts
• Prepare adjustments and write-offs as needed
• Correct and resubmit claims according to policy
• Interface with payers via phone and web portal
• Interpret contracts to ensure proper payment
• Process refunds and manage claim rejections
• Utilize Excel, Outlook, and Word for tasks
• Participate in instructor-led training programs
• Enjoy a flexible work schedule

Requirements

• 1+ years of experience in a professional environment
• 1+ years of experience with Excel, Outlook, and Word
• Home infusion or DME experience preferred
• Strong attention to detail and customer service skills
• Experience with medical billing or collections
• Ability to work in a team environment
• Experience with accounts payable or accounts receivable
• Verifiable High School Diploma or GED required

Benefits

• Comprehensive medical, dental, and vision insurance
• 401(k) plan with company matching
• Employee stock purchase plan
• No-cost wellness programs and counseling
• Flexible work schedules and paid time off
• Tuition assistance and family leave options
• Retiree medical access
• Various other benefits based on eligibility