Make Money From Home: CVS Health is Hiring Work at Home Now! $19/hr

CVS Health is hiring work from home in many states.

CVS Health is one of the biggest healthcare companies in America. This health giant makes over $256 billion a year! CVS Health is a Fortune 500 company! CVS Health is hiring work from home claim benefit specialists in many states!

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Job Description
Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. Claims adjudication results should meet/exceed production and quality standards in line with CMS and Aetna compliance and business requirements.

Analyzes and approves routine claims that cannot be auto adjudicated.
– Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process.
– Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements.
– May facilitate training when considered topic subject matter expert.
– In accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified turn-around-time parameters (Electronic Correspondence Handling System-system used to process correspondence that is scanned in the system by a vendor).
– Utilizes all applicable system functions available ensuring accurate and timely claim processing

Note: Our CBS positions in Medicare are not limited to Front-End Claims. These positions can support various Medicare workstreams as determined by business need. This can be either FE Claims, Specialty work or our Rework team.-
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Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Experience in a production environment
Detailed and quality oriented
Ability to research and work within several computer applications simultaneously
Microsoft Outlook

Preferred Qualifications
Claim processing experience
Computer Navigation Proficiency
Production & Quality background
Microsoft Office tools

Education
High School or GED equivalent
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