Our Claims team is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.

Primary Responsibilities of the Claims Processor include:

• Outbound calls to Members and/or Providers for verification of information
• Processing and adjudicating paper claims.
• Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures.
• Accurately resolving pending claims using state and federal regulations and specific health plan criteria.
• Working within turnaround times to meet client performance guarantees for claims processing.
• Meeting productivity and accuracy standards

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

• At least 1 year of work experience that shows a progressive trend in responsibility and accountability preferably in a Healthcare setting
• Excellent verbal and written communication skills
• In-depth experience working with Microsoft Office Suite products
• This position is fully remote, but must be able to work the Arizona Time Zone hours

Preferred Qualifications

• Previous PBM Experience
• Strong typing skills with speed and accuracy
• Team-oriented while also able to pursue personal and departmental production goals daily
• Ability to stay organized in a multi-demand and multi-priority environment
• Ability to work overtime as necessary

Education
Verifiable High School Diploma or GED required

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.