Support patients by resolving insurance claim issues and ensuring accurate reimbursement.
About CVS Health
CVS Health is the nation’s leading health solutions company, serving millions of people through retail pharmacies, digital touchpoints, and clinical programs. With more than 300,000 mission-driven employees, CVS Health is committed to a more connected, convenient, and compassionate healthcare experience. This role supports our Customer Care team by helping patients secure proper insurance reimbursement while reducing claim delays and errors.
Schedule
- Full-time, 40 hours per week
- Remote position based in Illinois
- Instructor-led training provided
- Flexible start times between 6:00am and 9:30am (some locations require 7:00am)
- End of day no later than 6:00pm
Responsibilities
- Work with insurance companies to resolve claim issues and secure accurate reimbursement
- Follow up on outstanding patient accounts and escalate payer trends when necessary
- Review denials, short-pays, and daily correspondence
- Correct and resubmit claims according to policy
- Investigate payer requirements and interpret contracts to confirm proper payment
- Process refunds and overturn insurance claim rejections when possible
- Communicate with payers via phone, web portals, and written correspondence
- Maintain productivity and quality expectations
- Utilize Excel, Outlook, Word, and critical thinking skills to resolve complex issues
Requirements
- 1+ year of experience in a professional environment
- Beginner-level proficiency in Excel, Outlook, and Word
- Strong attention to detail and urgency
Preferred Qualifications
- Experience in home infusion or durable medical equipment (DME)
- Customer service experience in a team-based environment
- Experience in medical billing, collections, AP, or AR
- Familiarity with healthcare reimbursement systems
Education
- High School Diploma or GED required
Benefits
- Competitive pay: $17.00–$31.30 per hour (based on experience and geography)
- Comprehensive medical, dental, and vision coverage
- 401(k) with company match and employee stock purchase plan
- Paid time off and flexible work options
- Family leave and dependent care resources
- No-cost wellness programs, financial coaching, and counseling
- Tuition assistance and long-term skill development
CVS Health invests in the wellbeing of colleagues and their families, offering benefits that support physical, emotional, and financial health.
Happy Hunting,
~Two Chicks…