Provider Data Services Specialist

CVS Health
Work from home, CT, US
$17-$29,88 an hour
Remote
Full-time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

  • Identifies, researches, and resolves issues on claims to ensure prompt claim payment.
  • Works with Team and internal counterparts to ensure claims are processed quickly for our providers and Members.
  • Must be able to manage constantly changing priorities, work independently and assess and evaluate claim and provider data.

Required Qualifications

  • 1-2 years Provider Data Maintenance
  • Excellent Communication skills (Written and Oral)
  • Analytical Skills
  • Proficient in Microsoft Office Applications including Excel.
  • Understanding of Provider data including NPI / Tax ID / Provider Specialty / Demographic information

Preferred Qualifications

  • Previous production environment experience
  • EWMP / EPDB / CAQH / NPPES

Education

High School Diploma

Pay Range

The typical pay range for this role is :

$17.00 - $29.88

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

30+ days ago
Related jobs
CVS Health
Texas, Work At Home, US
Remote

Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT. Provider Data Services Analysts. Coordinates provider status information with member services and other internal departments. Provider Operations, Provider Relatio...

Promoted
Gainwell Technologies LLC
TX, US
Remote

Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career developmen...

Promoted
Lone Star College
The Woodlands, Texas

The PT Receptionist acts as the initial contact person and representative of the assigned department. ...

Promoted
Hornet Appliance Services LLC
Spring, Texas

We are seeking a Customer Service Representative to join our team! You will be responsible for helping customers by providing product and service information and resolving technical issues. Previous experience in customer service, sales, or other related fields. Handle customer inquiries and complai...

Promoted
Standard American Solar
The Woodlands, Texas
Remote

This is a work from home position for applicants located in the state of Texas. Understand our customer service policies and retention processes working directly with our clients. Be self-motivated and have strong desire to work with people. Applicants must be authorized to work in the United States...

Promoted
Gastro Doxs, PLLC
Cypress, Texas

We are seeking to immediately hire a Medical Office Receptionist for our Gastroenterology practice - 3 locations (Cypress / Jersey Village / Katy). ...

Promoted
Online Consumer Panels America
Texas
Remote

A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contrac...

Promoted
OCPA
Texas
Remote

A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. Telecommute (you can work from home, work or school). Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contrac...

Promoted
Allied Consultants, Inc.
TX, United States

Project managers are the people in charge of a specific project or projects within a company. As the project manager, your job is to plan, budget, oversee and document all aspects of the specific project you are working on. Ensuring project meets the standard client's guidelines and procedures and d...

Promoted
Benda Infotech
TX, United States

Proficiency in data analysis tools (Excel, SQL, Python). Knowledge of data visualisation tools (Tableau, Power BI). Good communication and interpersonal skills to explain complex data to non-technical audiences. ...