Flexible-Schedule Claim Benefit Specialist

CVS Health; Tennessee; Hybrid; USD 23,000 - 35,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement options

Job summary

CVS Health in Tennessee is seeking a Claim Benefit Specialist to review and adjudicate benefits claims, verify coverage, and ensure accurate processing. You will train virtually for 20 weeks, with a 12-20 week ramp-up, and after training, a flexible schedule may be available.

Join a team that emphasizes accuracy, regulatory compliance, and data-driven improvements, with comprehensive benefits and opportunities for growth within a leading health services company.

Qualifications

• 1-2 years experience in customer service.
• Strong teamwork and organizational skills.
• Strong and effective communication skills.
• Ability to handle multiple assignments through time management and accuracy.

Responsibilities

• Process Benefits claims with accuracy and adherence to policies.
• Verify eligibility and coverage based on patient plan and guidelines.
• Communicate with providers and patients to resolve discrepancies.
• Document claim data in the system with codes and modifiers.
• Conduct reviews/investigations to ensure proper claim resolution.
• Analyze claims data and generate reports to identify trends and improvements.

Skills

Customer service

Teamwork

Communication

Time management

Education

High School diploma

Job description

CVS Health in Tennessee is seeking a Claim Benefit Specialist to review and adjudicate benefits claims, verify coverage, and ensure accurate processing. You will train virtually for 20 weeks, with a 12-20 week ramp-up, and after training, a flexible schedule may be available.

Join a team that emphasizes accuracy, regulatory compliance, and data-driven improvements, with comprehensive benefits and opportunities for growth within a leading health services company.