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About the role

CVS Health DSNP Business Claims Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring that all transactions transmitted are complete and error free. Manage and complete error corrections to meet state requirements.
Required Qualifications: 1+ year of experience with encounter data, medical claims, or Medicare/Medicaid.1+ year of experience using FTP and data transfer software.1+ year of data management experience.
Preferred Qualifications: Experience with Microsoft Access Databases. Analytical skills with the ability to identify and resolve data discrepancies. Working knowledge of the 837 claims files. Education Bachelors degree or equivalent work experience Anticipated Weekly Hours: 40 Time Type: Full time
Pay Range: $43,888.00 - $93,574.00 Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

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JOB OVERVIEW

Salary

$43,888 per year

Experience level

Mid

Location

Frankfort, KY

Occupation

Health Information Technologists and Medical Registrars

Industry

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Posted

2 days ago

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