Medical Reimbursement Representative

CVS Health • Austin, TX • 1h ago

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

As a Collector, you play an integral role in delivering cost effective solutions for our patients by working with insurance companies to resolve issues associated with our patients' insurance claims. In this role you will ensure timely follow-up on all patient accounts; including escalating payer trending concerns to leadership and timely communication with external departments; work with payers to ensure proper reimbursement on patient accounts, identify and prepare adjustments and write-offs; correct and resubmit claims (subject to policy); follow-up on daily correspondence (denials, short-pays); interface with insurance companies via phone and web portal to check claim status, submit written correspondence to payers and patients; interpret contracts with payers to ensure proper payment; send initial or secondary bills to insurance companies; process refunds and work to overturn insurance claim rejections while maintaining quality and productivity requirements. To be successful in this role you will utilize Excel, Outlook, and Word and your critical thinking skills to ensure a high quality of work.

We offer instructor led training programs to set you up for success, in addition to a comprehensive benefits package that begins the first of the month after your start date and includes medical, dental and vision insurance as well as supplemental benefits, retail discounts and paid time off.

Additionally, we offer a flexible work schedule, starting your 8-hour day between 6:00am and 9:30am ending your day by 6:00pm. some locations require a 7:00am start time

Required Qualifications

1+ years of experience in a professional environment

1+ years experience working in Excel, Outlook, and Word.

Preferred Qualifications

Home infusion or durable medical equipment (DME) experience

Strong attention to detail with a sense of urgency

Customer service skills; ability to work in a team environment

Experience with medical billing or collections or experience with accounts payable (AP) or accounts receivable (AR)

Experience with healthcare reimbursement systems.

Education

Verifiable High School Diploma or GED required.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/26/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. 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.

Similar Jobs

Medical Assistant

HCA Healthcare • Round Rock, TX • 1h ago

Hospital & Medical

Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassiona...

1h ago

Go to Apply

Physical Therapist, Home Health

CenterWell • Austin, TX • 15h ago

Hospital & Medical

Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of...

15h ago

Go to Apply

Physical Therapist, Home Health

CenterWell • Austin, TX • 15h ago

Hospital & Medical

15h ago

Go to Apply

Registered Nurse

HCA Healthcare • Austin, TX • 17h ago

Hospital & Medical

Description Introduction Are you looking for a place to deliver excellent care patients deserve? At North Austin Maternal we support our colleagues in their positions. Join our Team as a(an) Registered Nurse and access p...

17h ago

Go to Apply

Registered Nurse

HCA Healthcare • Austin, TX • 17h ago

Hospital & Medical

Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Austin Diagnostic Clinic we support our colleagues in their positions. Join our Team as a(an) Registered Nurse and acces...

17h ago

Go to Apply

Registered Nurse

HCA Healthcare • Austin, TX • 17h ago

Hospital & Medical

17h ago

Go to Apply

Registered Nurse

HCA Healthcare • Austin, TX • 17h ago

Hospital & Medical

17h ago

Go to Apply

Certified Medical Assistant

Baylor Scott & White Health • West Lake Hills, TX • 1d ago

Hospital & Medical

JOB SUMMARY Location: 1001 Westbank Drive, West Lake Hills, 78743 Department: Family Medicine Clinic Schedule: Mon-Fri (8a-5p) The Certified Medical Assistant 1, under the direction of a physician, assists in the deliver...

1d ago

Go to Apply

Medical Assistant PRN

Baylor Scott & White Health • Lakeway, TX • 1d ago

Hospital & Medical

JOB SUMMARY Location: 3108 Ranch Road 620 S, Lakeway, 78738 Department: Internal Med Clinic Schedule: PRN (3 1/2 days per month on Wednesday ** 8a-12p or 12p-5p) The Medical Assistant 1, under the direction of a physicia...

1d ago

Go to Apply

Clinical Manager, Home Health

CenterWell • Austin, TX • 1d ago

Hospital & Medical

Become a part of our caring community and help us put health first Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: The Villages, FL $10K Sign-On Bonus *This position is eligible for relocation a...

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.