CVS Health

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Billing Premium Consultant

at CVS Health

Posted: 9/17/2020
Job Reference #: 72804BR

Job Description

Job Description
Provide Plan Sponsors with accurate bills and ensure payments are finalized and money is collected and allocated across benefits and structure.

Fundamental Components
  • Monitors, researches, and resolves collection of outstanding premium, overdue accounts, or revenue adjustment issues and reports corrections or coordinates collection and cancellation of overdue customers in accordance with pre-established market segment process.
  • 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.

Background Experience
  • Experience with checks and balances, Finance or banking background
  • Experience working in Microsoft Access and Excel
  • Good communication - will be required to maintain a working relationship with account managers and employer groups
  • Organization and the ability to work independently.

Additional Job Information
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.

High School diploma, G.E.D. or equivalent experience

Percent of Travel Required
0 - 10%

Business Overview
Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!