Claims Processing - Representative I

CVS Health
1d$17 - $28Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Position is remote, but work schedule will be based off AZ time zone. Our Direct Member Reimbursement (DMR) Claims team is looking for experienced Claims Processors to join our fast-paced team. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.

Requirements

  • At least 2 years of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
  • -Excellent verbal and written communication skills
  • -In-depth experience working with Microsoft Office Suite products
  • Verifiable High School Diploma or GED required

Nice To Haves

  • -Previous PBM Experience
  • -Strong typing skills with speed and accuracy
  • -Team-oriented while also able to pursue personal and departmental production goals daily
  • -Ability to stay organized in a multi-demand and multi-priority environment
  • - Strong time management skills with ability to meet production goals

Responsibilities

  • Accurate and efficient adjudication of paper claims from electronic images in a production environment.

Benefits

  • 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.
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