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CVS Health logo
CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Adjudication Associate – Overnight

Location

Maine

Posted

4 days ago

Salary

$17 - $42 / hour

Seniority

Mid Level

High School1 yr expExperience acceptedEnglish

Job Description

Adjudication Associate – Overnight

CVS Health

• responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. • communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions. • follow established procedures to execute routine business support tasks for the Adjudication Omnicare function under general supervision. • develop effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service. • conduct review and research of rejected claims and take action for resolution. • handle work backlog of denied claims for timely resubmission. • ensure compliance with all government and regulatory requirements. • take direction to execute techniques, processes, and responsibilities.

Job Requirements

  • At least 1 year of experience in a pharmacy-based environment.
  • Basic proficiency with desktop software applications, particularly Microsoft Excel and Microsoft Access.
  • Must be able to work Monday-Friday from 9:00pm-5:30am Eastern Standard Time, as well as be willing to work weekends (once every three weeks) and holidays (several times per year).

Benefits

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

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