CVS Health Job - 40991765 | CareerArc
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Company: CVS Health
Location: SD
Career Level: Entry Level
Industries: Retail, Wholesale, Apparel

Description

Job Description
Our Claims team is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic image in a production environment.

Primary Responsibilities of the Claims Processor include:
-Outbound calls to Members and/or Providers for verification of information
-Processing and adjudicating paper claims.
-Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures.
-Accurately resolving pending claims using state and federal regulations and specific health plan criteria.
-Working within turnaround times to meet client performance guarantees for claims processing.
-Meeting productivity and accuracy standards

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Required Qualifications
- At least 1 year 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.

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.


Preferred Qualifications
- Call center type experience
- 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 organize in a multi-demand and multi-priority environment
- Ability to work overtime as necessary

Education
Verifiable High School Diploma or GED required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.


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