Medical Claims Analyst | Cost Savings & Training

Colorado Psychiatric; Colorado; On-site; USD 25,000 - 53,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Bonus eligibility

Job summary

CVS Health in Colorado is seeking a detail-oriented Medical Claims Support specialist to inspect and provide accurate claim information, respond to benefit inquiries, and help optimize costs.

You will administer policies for medical cost management, coordinate claim adjudication support, and uphold customer service standards. A high school diploma is required, and the position offers full-time hours and comprehensive benefits.

Qualifications

• Performs routine and non-routine tasks in Medical Claims under supervision.
• Follows protocols and policies to provide timely support.
• Reviews provider billing to identify savings opportunities.
• Participates in claim billing training for processors.
• Tests automated review programs.

Responsibilities

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

Skills

Problem solving

Decision making

Customer service

Training programs

Attention to detail

Education

High school diploma or equivalent

Job description

CVS Health in Colorado is seeking a detail-oriented Medical Claims Support specialist to inspect and provide accurate claim information, respond to benefit inquiries, and help optimize costs.

You will administer policies for medical cost management, coordinate claim adjudication support, and uphold customer service standards. A high school diploma is required, and the position offers full-time hours and comprehensive benefits.