Another question is how the data is currently linked - I assume you are using a pivot table based on the access table or Data/Get External Data (Query) as you are using the "refresh" command. So the real question would be how do I open excel and refresh the query yes ??
If this is the case, you have a VERY easy answer - queries and pivot tables can be set to refresh on document open. This may be a better way round for you as you then don't need to worry about controling it from Access....
If this is not the case and you currently do not have a link between the 2, please respond and I'll have a think about it. NB - if you havn't got it linked like this already, it may be the best way to go.
HTH
Geoff