Recovery Savings Analyst

Job not on LinkedIn

🔥 13 hours ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $18 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Recover and allocate overpaid dollars, including complex, non-routine refunds • Manage overpayment inventory • Partner with third-party vendors and internal business units • 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 • Partner with internal business units, vendors, and liaisons to recover funds and allocate refunds • Administer overpayment recovery policies and procedures • Monitor inventory progress and complete timely follow-ups to achieve recovery goals • 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-check allocation • Deliver recovery training for 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 • Familiarity with refund posting • Familiarity with overpayment recovery • DG system claims processing experience • Independent decision-making skills • Effective communication, organizational, and interpersonal skills

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility