CVS Well being is hiring work at home in lots of states.
CVS Well being is among the greatest healthcare firms in America. This well being large makes over $256 billion a yr! CVS Well being is a Fortune 500 firm! CVS Well being is hiring work at home claims advantages specialists in lots of states!
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- Job Description
This place is a work at home place in any time zone.$1,000 signal on bonus and a $2,000 bonus after 180 days of profitable coaching! The signal on and retention bonuses will not be relevant to present inner staff of CVS or Aetna.
• Evaluations and adjudicates routine claims in accordance with declare processing tips.
• Analyzes and approves routine claims that can not be auto adjudicated.
• Applies medical necessity tips, determines protection, full eligibly verification, determine discrepancies and applies all value containment measures to help within the declare adjudication course of.
• Coordinates responses for routine telephone inquiries and written correspondence associated to assert processing points.
• Routes and triages advanced claims to Senior Declare Advantages Specialist.
• Proofs declare or referral submission to find out, overview or apply applicable tips, coding, member identification course of, analysis and pre-coding necessities.
• Could facilitate coaching when thought of matter material skilled.
• In accordance with prescribed operational tips, manages claims on desk, route/queues, and ECHS inside specified turn-around-time parameters (Digital correspondence Dealing with System – system used to course of correspondence that’s scanned within the system by a vendor).
• Makes use of all relevant system capabilities obtainable guaranteeing correct and well timed declare processing providers (i.e. makes use of declare test, affordable and customary knowledge, and different post-containment instruments). - Make Further $2000/Month from Residence
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Pay Vary
The everyday pay vary for this position is:
Minimal: 17.00
Most: 27.16Please take into account that this vary represents the pay vary for all positions within the job grade inside which this place falls. The precise wage provide will consider a variety of things, together with location.
Required {Qualifications}
This place is a work at home place in any time zone.$1,000 signal on bonus and a $2,000 bonus after 180 days of profitable coaching! The signal on and retention bonuses will not be relevant to present inner staff of CVS or Aetna.
• Evaluations and adjudicates routine claims in accordance with declare processing tips.
• Analyzes and approves routine claims that can not be auto adjudicated.
• Applies medical necessity tips, determines protection, full eligibly verification, determine discrepancies and applies all value containment measures to help within the declare adjudication course of.
• Coordinates responses for routine telephone inquiries and written correspondence associated to assert processing points.
• Routes and triages advanced claims to Senior Declare Advantages Specialist.
• Proofs declare or referral submission to find out, overview or apply applicable tips, coding, member identification course of, analysis and pre-coding necessities.
• Could facilitate coaching when thought of matter material skilled.
• In accordance with prescribed operational tips, manages claims on desk, route/queues, and ECHS inside specified turn-around-time parameters (Digital correspondence Dealing with System – system used to course of correspondence that’s scanned within the system by a vendor).
• Makes use of all relevant system capabilities obtainable guaranteeing correct and well timed declare processing providers (i.e. makes use of declare test, affordable and customary knowledge, and different post-containment instruments).COVID Necessities
COVID-19 Vaccination Requirement
CVS Well being requires sure colleagues to be totally vaccinated in opposition to COVID-19 (together with any booster photographs if required), the place allowable beneath the legislation, until they’re permitted for an affordable lodging based mostly on incapacity, medical situation, spiritual perception, or different legally acknowledged causes that forestalls them from being vaccinated.You’re required to have acquired no less than one COVID-19 shot previous to your first day of employment and to offer proof of your vaccination standing or apply for an affordable lodging throughout the first 10 days of your employment. Please be aware that in some states and roles, you could be required to offer proof of full vaccination or an permitted affordable lodging earlier than you’ll be able to start to actively work.
Most popular {Qualifications}
Medicaid
Qnxt
Medical CodingSchooling
Excessive Faculty diploma or GED equal
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