Billing Premium Consultant

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.

Position Summary

Provide Plan Sponsors with accurate bills and with timely and accurate ID cards and audit cert lists. Improvement of financial results by reducing losses associated with non-payment. Ensures collected reconciled

dollars are allocated across benefits and structure; responsible for account set up.

Fundamental Components

Reviews Plan Sponsor member listings, Plan Sponsor (or

individual member) payments, and / or terminations and

compares to actual billing statement to identify and resolve discrepancies.

Monitors, researches, and resolves collection of

outstanding premium or revenue adjustment issues and

reports corrections to appropriate contact; Resolution

activity related to delinquent accounts may involve verbal

and / or written communications with customers and other

key internal business areas.

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

on fully insured and / or self-insured customers.

Applies technical policy, legislation, Plan Sponsor account

structure and benefit information to decisions.

Ensures that remittances are posted accurately across

various benefits and account structure and reconciles

customer remittances. Identifies and determines appropriate treatment of overdue

accounts and coordinates collection and cancellation of

overdue customers in accordance with pre-established

market segment process. Research, resolves, and responds to eligibility and / or

billing. inquiries / member issues generated from Plan Sponsor,

third party vendor, Member Services, or marketing office.

Answers questions and resolves issues based on phone

calls / letters from Plan Sponsors and internal constituents.

Required Qualifications

• 1+ Year prior work experience working in financial reports
• Ability to analyze financial information and reports.

Preferred Qualifications

Education

Pay Range

The typical pay range for this role is :

17.00 - $29.88

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.