CVS Health · 22 hours ago

Claims Processing - Representative I

Phoenix, AZ

Full-time

Remote

Entry Level

$17/hr - $25.65/hr

1+ years exp

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Responsibilities

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

Qualification

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Claims processingHealthcare experienceMicrosoft Office SuiteTyping skillsCall center experiencePBM experience