"Alerted.org

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

CVS Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Insurance Credit Balance and Refund Supervisor. As a Insurance Credit Balance and Refund team Supervisor, you will ensure timely resolution of credit balances and liabilities while demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate accounts receivable resolution to insurance payers.

We will support you by offering all the tools and resources you need to be successful in a collaborative team environment.

Located in the Monroeville facility, this opportunity also provides free parking.

Key Responsibilities of the Supervisor, Insurance Credit Balance and Refund:

+ Managing A/R reports and aging buckets, analyzing the A/R to identify problem areas/trends, recommending and implementing solutions; explaining fluctuations in the A/R; maintaining department workflow.

+ Meeting compliance guidelines for timely and accurate refunds/offsets.

+ Various A/R related reporting requirements, including but not limited to: collector aging’s, metric reporting for team, compliance results.

+ Supervising staff to ensure the daily operation needs are met, including productivity compliance, and quality goals.

+ Interviewing, hiring, evaluating and reviewing staff performance, coaching and counseling, disciplinary action and daily supervision of the staff to ensure that all department and company policies and procedures are followed.

+ Providing excellent customer service.

Required Qualifications

+ 1+ year(s) of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related experience in healthcare insurance.

+ 1+ year(s) of leadership experience.

+ Must live within a 1 hour commute from the Monroeville, PA office.

Preferred Qualifications

+ 3+ Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in healthcare insurance.

+ Ability to coach, manage, develop and guide employee performance while establishing meaningful team goals and objectives in order to drive team performance.

+ Ability to find creative solutions to issues and foster that type of creativeness in your team.

+ Ability to develop a highly productive team through solid communications and feedback.

+ Experience in a high volume, fast-paced production environment.

+ Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments.

+ Strong presentation skills

+ Excellent oral, written, and interpersonal communication skills

+ Prior experience with AR reporting including trending, aging, forecasting, etc.

+ Skilled in use of MS Office Applications, particularly Excel

+ Ability to translate and effectively analyze large data sets

+ Highly motivated self-starter with the ability to work both independently and as a part of a cross-functional team

Education

+ High School diploma or GED required.

+ Bachelor's Degree preferred.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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: 06/16/2025

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.