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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Provider Refund Specialist (Data Entry)

Primary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix
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Description:
The position assists in performing various department functions including processing provider refund checks received for claims corrections and researching and reissuing payments due back to providers.

Fundamental Components:
  • Resolves problems in a timely and effective manner.
  • Uses designated systems to obtain information.
  • Understands the impact of actions on system primarily used/maintained.
  • Analyzes and verifies system results to ensure accuracy, accountability and financial data integrity.
  • Responds to and resolves customer inquiries and complaints (internal as well as external) both verbal and written correspondence within established unit objectives.
  • Participates as a member of a project team.
  • Uses system produced data to prepare management level reports.
  • Uses system output to monitor and/or reconcile specific line of business accounts and customer bank accounts.
  • Monitors, reviews, researches, reconciles and balances designated Aetna system activity.
  • Reviews and analyzes system reports and other information to develop financial information for use in reporting.
  • This position uses established department procedures to complete all provider payment related processes accurately and timely.
  • The position insures that all compliance and audit requirements are met in daily processes. Assist in updating policies and procedures to streamline processes and assist in training.


Background Experience:
  • 1-3 years accounts payable/accounts receivable/payment processing experience preferred.
  • Knowledge of medical claim payment processing or account reconciliation is helpful.
  • Experience working as part of a team to meet established deadlines and resolve issues is required.
  • Attention to details and accuracy are essential skills.


Additional Job Information:
This position offers the opportunity to work with many different departments to support the daily health plan payment activities.

Required Skills:
General Business - Turning Data into Information, Leadership - Collaborating for Results, Leadership - Driving a Culture of Compliance

Desired Skills:
General Business - Communicating for Impact, Leadership - Creating Accountability, Service - Working Across Boundaries

Functional Skills:
Administration / Operation - Data Entry, Claim - Overpayment recovery, Finance - Accounts receivable, Finance - Treasury services - bank reconciliations

Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)

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