Additional responsibilities to include but not limited to the following:- Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers.

- Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company's claims processing system.

- Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered.

- Calculates claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers.

- Communicates claim status updates to healthcare providers, policyholders, or other stakeholders to provide transparency and ensure any additional information is resolved quickly.

- Assists in resolving discrepancies or issues related to claims by researching and investigating claim-related inquiries, collaborating with internal teams or departments, and coordinating with healthcare providers to resolve claim processing errors or discrepancies.

- Provides customer service support by addressing inquiries and resolving issues related to claims processing.

- Ensures that all claims processing details and notes are inputted into the company systems database.

- Assists in data entry tasks related to claims data management, such as updating claim statuses, maintaining accurate records, or ensuring proper documentation of claims processing activities.Required Qualifications- 1 year work experience in Customer Service/ Data Entry in Healthcare

- Experience using Microsoft Office Suite (Outlook, Teams, Word, etc.)

- Working knowledge of problem solving and decision making skillsPreferred Qualifications- Certified Billing and Coding Specialist (CBCS) preferred.

- Intermediate experience using Microsoft Excel

EducationHigh School Diploma or equivalent GEDPay Range

The typical pay range for this role is:$17.00 - $25.65This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 01/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.