Provider Data Services Specialist — Elevate Health Data Quality

CVS Health Corporation; Town of Montana (WI); Hybrid; USD 35,000 - 71,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Wisconsin is seeking a Data Services Assistant to support the Finance team with routine data entry and processing tasks. You will enter baseline demographic transactions and assist with claim adjudication workflows under supervision.

The role emphasizes accuracy, attention to detail, and proficiency in Microsoft Office. Strong organizational skills and the ability to manage time effectively will help you respond to inquiries and complete audits as required.

Qualifications

• At least 1 year of healthcare and/or data entry experience.
• Proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

Responsibilities

• Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision.
• Supports the Finance department, interacting with key 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, subsequently reviewing details to effectively respond to customer/member inquiries.
• Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
• Supports Data Services Change Management and Process Optimization strategies, in order to achieve optimal outcomes.
• Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
• Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
• Performs other duties as assigned.

Skills

Data entry

Attention to detail

Time management

Microsoft Office

Education

High school diploma or GED

Tools

Microsoft Teams

Microsoft Excel

Microsoft Word

Job description

CVS Health in Wisconsin is seeking a Data Services Assistant to support the Finance team with routine data entry and processing tasks. You will enter baseline demographic transactions and assist with claim adjudication workflows under supervision.

The role emphasizes accuracy, attention to detail, and proficiency in Microsoft Office. Strong organizational skills and the ability to manage time effectively will help you respond to inquiries and complete audits as required.