Data Services Specialist: Provider Data & Claims Support

CVS Health Corporation; Town of Texas (WI); Hybrid; USD 48,712,000 - 97,854,000; Full time

Job summary

CVS Health Corporation in Wisconsin seeks a Data Services Support professional for a full-time role. You will execute routine data entry tasks, support Finance and underwriting teams, and help maintain provider directory accuracy.

The role involves data service triage, provider audits, and responding to audits while aiding change management and process optimization. A high school diploma and MS Office skills are required; 1 year of healthcare data entry experience is preferred.

Qualifications

• 1+ year of healthcare and/or data entry experience.
• Proficiency with Microsoft Office applications (Teams, Excel, Word).

Responsibilities

• Follows established procedures to execute routine business support tasks for the Data Services function under general supervision.
• Supports the Finance department, interacting with Underwriting and Account Management specialists for optimal deliverables.
• Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
• Performs data service intake triage, reviewing details to respond to customer/member inquiries.
• Conducts regular audits of provider information, escalating issues to management for swift resolution.
• Supports Data Services Change Management and Process Optimization strategies to achieve optimal outcomes.
• Takes direction from management to understand and execute key work area techniques, processes, and responsibilities.
• Responds to auditor data requests, questions, and discrepancies to ensure data integrity and quality of work.
• Performs other duties as assigned.

Skills

Healthcare data entry

MS Office proficiency

Education

High school diploma or GED

Tools

SQL

QXNT

Job description

CVS Health Corporation in Wisconsin seeks a Data Services Support professional for a full-time role. You will execute routine data entry tasks, support Finance and underwriting teams, and help maintain provider directory accuracy.

The role involves data service triage, provider audits, and responding to audits while aiding change management and process optimization. A high school diploma and MS Office skills are required; 1 year of healthcare data entry experience is preferred.