Paper Claims Processor Representative Job Vacancy in CVS Health Arizona – Latest Jobs in Arizona
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Company Name : CVS Health
Location : Arizona
Position : Paper Claims Processor Representative
Job Description : CVS Health 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. Commercial Paper Claims processes an average of 74,000 claims monthly, and provides service to multiple employer and health plans.
Primary Responsibilities of the Claims Processor include:
Processing and adjudicating commercial 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.Making outreach to pharmacies by phone to request information that may be missing in a submission
Required Qualifications
1+ year of claims experience (medical or dental claims experience will be considered)
1+ year of experience Microsoft Word, Excel and Outlook Software
COVID Requirements
CVS Health requires its Colleagues 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, 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 10 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 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. 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, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 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. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
Previous PBM Experience
Strong typing skills with speed and accuracyTeam-oriented while also able to pursue personal and departmental production goals dailyAbility to organize in a multi-demand and multi-priority environmentAbility to work overtime as necessary
Education
High School Diploma or GED Required
Business Overview
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.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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