Healthcare Claims Analyst: Cost Savings & Adjudication

CVS Health; Kansas; Híbrido; USD 25.000 - 53.000; Jornada completa

Descripción de la vacante

CVS Health in Kansas is hiring for a full-time claims support role. You will inspect and provide accurate claim information to support savings optimization, respond to customer inquiries about benefits, and ensure customer service standards are met.

Responsibilities include administering policies for medical cost management, coordinating support functions for claim adjudication, and contributing to a team that improves health care experiences for individuals and communities.

Formación

• Executes routine and non-routine claims support tasks under supervision.
• Follows area protocols, standards, and policies to provide effective support.
• Reviews provider billing practices to identify cost savings opportunities.
• Conducts training programs related to claim billing appropriateness and health plan guidelines.

Responsabilidades

• Inspects and provides accurate claim information to support savings optimization.
• Responds to customers on benefit inquiries.
• Maintains customer service standards.
• Coordinates support functions for claim adjudication.

Conocimientos

Problem solving

Decision making

Customer service

5+ years work experience

Educación

High school diploma or equivalent

Descripción del empleo

CVS Health in Kansas is hiring for a full-time claims support role. You will inspect and provide accurate claim information to support savings optimization, respond to customer inquiries about benefits, and ensure customer service standards are met.

Responsibilities include administering policies for medical cost management, coordinating support functions for claim adjudication, and contributing to a team that improves health care experiences for individuals and communities.