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
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
They will work closely with other members of the Commercial Services Operations team providing root cause analysis and precise resolution of affected claims.
The candidate is responsible for ensuring the rework project claims are resolved accurately, interfaces with appropriate areas, and is handled by the rework project due date.
The candidate will serve as a medical / hospital claim processor for rework projects, compliance, and complex issues for a specific provider / network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and / or legal / regulatory / compliance concerns.
Required Qualifications
- Must have 1 year of experience processing medical and hospital claims.
- Experience in a Medical claims / billing background
- Will be responsible for performing a detailed analysis and reworking complex claim issues.
- This candidate should demonstrate a strong work ethic.
- Being efficient and flexible is essential to the position in order to meet critical turnaround objectives.
- Proficient in Excel experience.
Preferred Qualifications
- Working knowledge of ACAS claim system, Excel, and Word would be a plus.
- Ability to analyze data.
- Ability to work independently as well as part of the team, contributing to overall effectiveness of the team.
- Able to successfully cope with the high demands of the job while effectively maintaining personal composure.
- Initiative to improve personal performance as well as those of peers and team.
Education
High School diploma, G.E.D. or equivalent experience.
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.
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.
Claim Benefit Specialist
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
Senior Claim Benefit Specialist
Reviews and manages stop loss claim filings. The Company offers a full range of medical, dental, and vision benefits. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. ...
Customer Service Representative (Work from home)
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!. Previous experience in customer service or sales is a plus. We're seeking someone who is great with people, building relationships, and putting customers first. Ability to listen to and underst...
Payroll Specialist I - Hybrid
The Payroll Specialist I will be responsible for timely and accurate payroll processing and support of personnel for assigned payrolls. Process payroll for Retail, Factory, Administration and Executives pay groups using the Workday and Kronos systems, including entering payroll changes and adjustmen...
Administrative Assistant
A company is looking for an Administrative Assistant. Key Responsibilities:Provide administrative assistanceResearch vendors and suppliersCoordinate travel arrangements and adjustmentsRequired Qualifications:Fluent in both English and RussianProficient in MS Office and Google DocsStrong organization...
Senior Payroll Specialist
As a Senior Payroll Specialist, you will ensure accurate and timely payroll processing, compliance with applicable laws, and provide exceptional support to our employees. We are seeking an experienced and detail-oriented Senior Payroll Specialist to join our team. The ideal candidate will have exten...
Truck Driver - Local Class A - Average $78000 Annually - Penske Logistics
Immediate Opportunities: Full-time Local Class A CDL Truck Drivers. Ready to put your truck-driving career in high gear? Make the shift and fuel your career as a CDL Class A Truck Driver for Penske. Late model, Penske Truck Leasing trucks. When you join Penske, you join a team of professional truck ...
CDL-A Local Truck Driver
The Driver, is responsible for driving a tractor trailer or straight truck on intrastate and interstate local, over-the-road (OTR), shuttle, and overnight and drive and drop routes for the purpose of delivering and/or unloading food and food related products to customers in a safe and timely manner ...
Local Truck Driver - 1yr EXP Required - Dry Van - $1.09k per week - Ryder
Immediate opening for a Dedicated SOLO Class A CDL Truck Driver and want the right Trucker to join us at Ryder in Lansing, MI!. Trucks are 36 months or newer, include 24/7 Roadside Maintenance and Company Drivers fuel up the trucks at over 800 Maintenance Facilities Nationwide. Ryder Drivers are the...
Freight Claims Specialist
The primary focus of the Claims Specialist is to execute the filing, reconciliation, and closure of all freight claims. Fully understand all the claims accounting processes, claims specialists-entry level follows, and help as needed. Manage claims for a set of customers as assigned every 6 months by...