Medical Reimbursement Representative, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

As a Collector, you play an integral role in delivering cost effective solutions for our patients by working with insurance companies to resolve issues associated with our patients' insurance claims. You will ensure timely follow-up on all patient accounts and work with payers to ensure proper reimbursement.

Job Responsibility:

Ensure timely follow-up on all patient accounts
including escalating payer trending concerns to leadership and timely communication with external departments
Work with payers to ensure proper reimbursement on patient accounts, identify and prepare adjustments and write-offs
Correct and resubmit claims (subject to policy)
Follow-up on daily correspondence (denials, short-pays)
Interface with insurance companies via phone and web portal to check claim status, submit written correspondence to payers and patients
Interpret contracts with payers to ensure proper payment
Send initial or secondary bills to insurance companies
Process refunds and work to overturn insurance claim rejections while maintaining quality and productivity requirements

Requirements:

1+ years of experience in a professional environment
beginner level experience working in Excel, Outlook, and Word
Verifiable High School Diploma or GED required

Nice to have:

Home infusion or durable medical equipment (DME) experience
Strong attention to detail with a sense of urgency
Customer service skills
ability to work in a team environment
Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR)
Experience with healthcare reimbursement systems

What we offer:

Medical, dental and vision insurance
Supplemental benefits
Retail discounts
Paid time off
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
October 29, 2025

Expiration:
November 07, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Medical Reimbursement Representative