Strategic Overpayment Recovery Analyst

CVS Health; Colorado Springs (CO); On-site; USD 28,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Bonus eligibility

Competitive benefits

Job summary

CVS Health in Colorado Springs seeks an experienced professional to recover and allocate overpaid dollars, including complex refunds. You will work with providers, members, and internal teams to secure recoveries while maintaining compliance and accuracy.

The role involves outbound outreach, data analysis, and documentation to support claim adjudication and cost containment efforts. It is a full‑time, on‑site position with a comprehensive benefits package.

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.
• Experience conducting outbound calls, including provider outreach.

Responsibilities

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

Skills

Medical claims processing

Outbound calls experience

Customer service experience

Attention to detail

Education

Associate degree or equivalent experience

Tools

DG system

Claims processing software

Job description

CVS Health in Colorado Springs seeks an experienced professional to recover and allocate overpaid dollars, including complex refunds. You will work with providers, members, and internal teams to secure recoveries while maintaining compliance and accuracy.

The role involves outbound outreach, data analysis, and documentation to support claim adjudication and cost containment efforts. It is a full‑time, on‑site position with a comprehensive benefits package.