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Billing Premium Consultant

CVS Health

CVS Health is a health care innovation company. Together, we are are helping people on their path to better health.

Job Description
Monitors, researches, and resolves collection of outstanding premium, overdue accounts, or revenue adjustment issues and reports corrections or coordinates collection.
Ensures all manual adjustments, refunds, and write-offs are appropriately submitted, adhering to policy guidelines.
Validates and updates Self Insured Revenue forecasting information and trends. Coordinates validation of eligibility. Ensures that remittances are posted accurately across various benefits and account structure and reconciles customer remittances.
Consults with internal/external customers to identify accurate account structure, billing format method and payment arrangements to meets customer’s expectations. May negotiate and communicate change for non-standard products and/or services; evaluates customer billing requirements, customer payment arrangements and history to deliver a timely and technically accurate product.
Researches, resolves and responds to product inquiries, i.e., revenue adjustment issues, from internal and external customers, e.g., Plan Sponsor, Member Services, third party vendor.
Ensures that legislation and compliance has been properly adhered to with regard to Plan Sponsor and/or member activity. Utilizes and interprets on line resources to understand customer’s account structure and benefits. May assist with the development of such resources. Monitors and manages internal installation process, i.e., reports, to identify issues and ensures timely and accurate resolution to meet business goals and constituents expectations.

Required Qualifications
Ability to analyze financial information and reports.
Ability to prioritize tasks/work effectively.
Strong verbal and written communication skills.
Well organized.
Math and accounting skills.
Problem solving skills.
Attention to detail and accuracy

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Microsoft experience with Excel and possibly Access.

Education
high school diploma

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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Billing Premium Consultant

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CVS Health

CVS Health is a health care innovation company. Together, we are are helping people on their path to better health.

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