Claims Intake Processing Representative Onsite Scottsdale, Arizona

Were building a world of health around every individual shaping a more connected convenient and compassionate health experience. At CVS Health youll be surrounded by passionate colleagues who care deeply innovate with purpose hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person one family and one community at a time.

Position Summary

This position works on-site at our Scottsdale AZ location.

Claims Intake Processing Representative - performs claim documentation review verifies policy coverage assesses claim validity communicates with healthcare providers and policyholders and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills.

Primary Responsibilities of the Claims Processor include:

• Sorting interoffice and regular mail by department.
• Opening and extracting copying taping down the items within the envelope.
• Scanning in the mail in accordance with Standard Operating Procedures.
• Printing letters and stuffing envelopes.
• Operate mailroom equipment including but not limited to:

- Mail slicing machine

- Scanners

- Printers

- Envelope openers

• Maintaining integrity of claims receipts in accordance withstandard claims operating and adjudication procedures.
• Working within turnaround times to meet client performance guarantees for claims processing.
  Meeting productivity and accuracy standards.

Required Qualifications

• 1 year of experience Microsoft Word Excel and Outlook software
  Must be able to lift 20 - 35 pounds.
• Ability to pay very close attention to detail.
• Must be able to access multiple systems online.
• Ability to reach twist turn bend stoop and walk.
• Understand modern office practices procedures and equipment.
• Possess the ability to work as a team member but also
• independently at times with limited direction.
• Successful at working in a fast-paced environment.
• Maintain flexibility and/or the ability to work overtime as needed to meet timelines.

Preferred Qualifications

• Previous PBM Experience
• 1 year of claims experience (medical or dental claims experience).

Education

-High School Diploma or equivalent GED

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.