# Overpayment Recovery Specialist

**Company**: CVS Health
**Experience**: senior
**Job type**: full-time
**Salary**: $18.50 - $38.82
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-New-York/Recovery-Savings-Analyst--Meritain_R1037207-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_68812d03-347

## Description

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience. At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.

**Job Summary** Recover and allocate overpaid dollars, including complex, non-routine refunds. You'll manage overpayment inventory, partner with third-party vendors and internal business units, research and respond to recovery inquiries, and conduct provider outreach to secure recoveries.

**Key Responsibilities**

- Review, collect, and resolve overpayment recovery items with limited supervision

- Partner with internal business units, vendors, and liaisons to recover funds and allocate refunds

- Administer overpayment recovery policies and procedures

- Manage overpayment work inventory and monitor progress to achieve recovery goals

- Coordinate with key business functions on escalated overpayments

- Use analysis and evaluation to solve complex recovery issues

- Track inventory, productivity, and recovery results using reporting

- Perform claim adjustments and rework calculations

- Apply medical necessity guidelines and determine coverage

- Process complex provider refunds and returned checks

- Review and interpret provider contract language to validate overpayments

- Deliver recovery training to less experienced team members as needed

- Handle 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 environment

- Experience conducting outbound calls and handling customer service inquiries

- Ability to interpret and apply guidelines related to eligibility, coverage, and benefits

- Demonstrated ability to manage multiple assignments with accuracy and attention to detail

**Preferred Qualifications**

- Independent decision-making skills

- Effective communication, organizational, and interpersonal skills

- Familiarity with refund posting and overpayment recovery

- DG system claims processing experience

**Education**

- Associate degree or equivalent experience

**Pay and Benefits** The typical pay range for this role is $18.50 - $38.82 per hour. This position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs.

## Skills

### Required
- medical claims processing
- claims adjustments
- customer service
- provider outreach
- overpayment recovery

### Nice to have
- independent decision-making
- refund posting
- DG system claims processing
- effective communication

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/Work-At-Home-New-York/Recovery-Savings-Analyst--Meritain_R1037207-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)