CVS Health
Bringing our heart to every moment of your health.
Medical Claims Analyst
Location
Florida + 4 moreAll locations: Florida, Louisiana, North Carolina, North Dakota, Maryland
Posted
3 hours ago
Salary
$18 - $35 / hour
High School5 yrs expEnglish
Job Description
• Inspects and provides accurate claim information to support savings optimization for claims
• Maintains customer service standards
• Administers policies and procedures for medical cost management
• Coordinates support functions for claim adjudication
• Executes both routine and non-routine business support tasks for the Medical Claims area under limited supervision
• Reviews provider billing practices to identify trends and cost savings opportunities
• Conducts training programs related to claim billing appropriateness and health plan guidelines for claim processors
Job Requirements
- Working knowledge of problem solving and decision making skills
- 5+ years work experience
- High school diploma or equivalent required
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
