Healthcare Appeals Specialist

CVS Health; Connecticut; Hybrid; USD 25.000 - 53.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision coverage

Paid time off

Retirement savings options

Wellness programs

Zusammenfassung

CVS Health is hiring for a full-time role in Connecticut. The position focuses on managing appeals processes, handling expedited requests, and coordinating with clinical support staff.

You will be responsible for updating systems, generating reports, and supporting panel hearings. The ideal candidate demonstrates familiarity with medical terminology, strong written and verbal communication, and the ability to multi-task while using Microsoft Office Suite.

Qualifikationen

• Familiar with medical terminology.
• Strong written and verbal communication skills.
• Ability to multi-task in a fast-paced environment.
• Proficient in basic computer skills including Microsoft Office Suite.

Aufgaben

• Complete appeals determination letters.
• Handle intake and launching of expedited requests.
• Provide verbal expedited notifications/determinations.
• Update systems and track activity.
• Complete reporting as necessary.
• Support the panel hearing process.
• Triage faxes and move cases in CATS system.
• Ensure compliance with turnaround times and regulatory standards.

Kenntnisse

Medical terminology

Strong communication

Multi-tasking

MS Office proficiency

Ausbildung

High School Diploma

Tools

Microsoft Office Suite

Jobbeschreibung

CVS Health is hiring for a full-time role in Connecticut. The position focuses on managing appeals processes, handling expedited requests, and coordinating with clinical support staff.

You will be responsible for updating systems, generating reports, and supporting panel hearings. The ideal candidate demonstrates familiarity with medical terminology, strong written and verbal communication, and the ability to multi-task while using Microsoft Office Suite.