Overpayment Recovery Analyst

CVS Health; Clayton (MO); On-site; USD 25,000 - 53,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a dedicated professional to recover and allocate overpaid dollars, including complex refunds. You will collaborate with vendors and internal teams, perform recovery inquiries, and reach out to providers to secure recoveries while adhering to compliance standards.

The role requires strong claims processing knowledge, outbound calls, and meticulous attention to detail in a fast-paced environment. Full-time, onsite in Clayton, MO with competitive benefits.

Qualifications

• 3+ years of medical claims processing experience.
• 2+ year of medical claims adjustments and/or rework experience.
• 2+ year of experience in a fast-paced, deadline-driven, high-volume environment.

Responsibilities

• Review, collect, and resolve overpayment recovery items via phone and written correspondence.
• Partner with internal business units, vendors, and liaisons to recover funds and allocate refunds.
• Administer overpayment recovery policies and procedures with members, providers, and other insurers.
• Manage overpayment work inventory and complete timely follow-ups to meet recovery goals.
• Coordinate with key business functions on escalated overpayments to drive resolution and recovery.

Skills

Medical claims processing

Outbound calls

Customer service

Attention to detail

Multitasking

Education

Associate degree or equivalent experience

Tools

DG system claims processing

Job description

CVS Health is seeking a dedicated professional to recover and allocate overpaid dollars, including complex refunds. You will collaborate with vendors and internal teams, perform recovery inquiries, and reach out to providers to secure recoveries while adhering to compliance standards.

The role requires strong claims processing knowledge, outbound calls, and meticulous attention to detail in a fast-paced environment. Full-time, onsite in Clayton, MO with competitive benefits.