CVS Health

CVS Health

Claim Benefit Specialist Ops

PA - Work from home, USA · Full-time

Sponsorship not specified$17k-$28kDetected 7 hours ago
ResearchMicrosoft Office

About the role

  • Processing Medicare claims on the HRP-HealthEdge Platform
  • The Claim Benefit Specialist position is a production-based role servicing Medicare Advantage beneficiaries.
  • Additional responsibilities to include but not limited to the following:

Responsibilities

  • These positions can support various Medicare workstreams as determined by business need.

Requirements

  • 1 year Experience in a production environment
  • Ability to research and work within several computer applications simultaneously
  • Role requires strong keyboard skills, attention to detail and the ability to work independently in a production environment.

Nice to have

  • Claim processing experience
  • Computer Navigation Proficiency
  • Production & Quality background
  • Microsoft Office tools

Skills

  • Strong computer navigational skills.

Compensation

  • 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.
  • We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
  • The typical pay range for this role is:

Benefits

  • Reviews and adjudicates Medicare medical claims in accordance with CMS claim processing guidelines.
  • Medical Claim processing experience preferably supporting Medicare products.
  • Medical terminology and coding certification.
  • Great benefits for great people
  • The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
  • Additional details about available benefits are provided during the
  • application process and on Benefits Moments.

This listing is sourced directly from CVS Health's careers page and normalized into a canonical job model.