Medical Claim Analyst

5 days ago

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Logo of CVS Health

CVS Health

Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

Description

• Responsible for initial review and triage of claims. • Determines coverage and verifies eligibility. • Promotes communication to enhance effectiveness of medical management services. • Performs non-medical research and support. • Maintains accurate and complete documentation.

Requirements

• Effective communication, telephonic and organization skills. • Familiarity with basic medical terminology and concepts used in care. • Coordination of service delivery with sensitivity to issues. • Proactive identification and resolution of issues. • Computer literacy including Excel and Microsoft Word. • Ability to participate in a multi-disciplinary team.

Benefits

• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long term disability benefits. • Well-being programs. • Education assistance. • Free development courses. • CVS store discount. • Paid Time Off (PTO) or vacation pay. • Paid holidays throughout the calendar year.

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