Recovery Savings Analyst

Job not on LinkedIn

🔥 4 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $18 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Recover and allocate overpaid dollars, including complex, non-routine refunds • Manage overpayment inventory and complete timely follow-ups to achieve recovery goals • Partner with third-party vendors, internal business units, and liaisons to recover funds and allocate refunds • Research and respond to recovery inquiries • Conduct provider outreach, including outbound calls, to secure recoveries • Review, collect, and resolve overpayment recovery items via phone and written correspondence • Administer overpayment recovery policies and procedures with members, providers, and other insurers • Coordinate on escalated overpayments to drive resolution and recovery • Analyze alternatives to solve complex, non-routine recovery issues • Use reporting to track inventory, productivity, and recovery results • Perform claim adjustments and rework calculations across all dollar amounts • Apply medical necessity guidelines, determine coverage, verify eligibility, identify discrepancies, and apply cost containment measures • Process complex provider refunds and returned checks • Review and interpret provider contract language to validate overpayments and support refund allocation • Deliver recovery training to less experienced team members as needed • Handle assigned customer service inquiries and issues

🎯 Requirements

• 3+ years of medical claims processing experience • 2+ years of medical claims adjustments and/or rework experience • 2+ years of experience working in a fast-paced, deadline-driven, high-volume environment • Experience conducting outbound calls, including provider outreach • Experience handling customer service inquiries via phone and/or written correspondence • Ability to interpret and apply guidelines related to eligibility, coverage, and benefits • Demonstrated ability to manage multiple assignments with a high degree of accuracy and attention to detail • Associate degree or equivalent experience • Independent decision-making skills • Effective communication, organizational, and interpersonal skills • Familiarity with refund posting • Familiarity with overpayment recovery • DG system claims processing experience

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Eligibility for CVS Health bonus, commission, or short-term incentive program in addition to base pay

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