CVS Health
Claims Benefit Specialist- Life Claims
Pay$17.00 - $28.46 / hour
LocationFranklin/Tennessee
Employment typeFull-Time
This job is now closed
Job Description
- Req#: R0497462
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $28.46 per hour
- Full range of medical, dental, and vision benefits
- 401(k) retirement savings plan and Employee Stock Purchase Plan available
- Access to numerous well-being programs and education assistance
- Paid Time Off (PTO) and paid holidays throughout the year
- Supportive environment focused on team development and engagement
What to Expect (Job Responsibilities):
- Process benefits claims submitted by healthcare providers, ensuring accuracy and adherence to policies
- Determine eligibility and coverage of benefits based on the patient's insurance plan
- Assess claims for accuracy, compliance with coding guidelines, and medical necessity
- Document claim information and assign appropriate codes for accurate tracking and processing
- Communicate with healthcare providers and patients to resolve discrepancies or issues related to claims
What is Required (Qualifications):
- 6 months to 2 years of experience in a high production environment
- Proficiency in Microsoft Office, particularly Excel
- Ability to review and triage documents accurately
- Strong multi-tasking and prioritization skills to handle multiple workloads
- Collaborative team player with problem-solving abilities
How to Stand Out (Preferred Qualifications):
- 1-2 years of experience in a healthcare claims processing environment
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.