Adjudication Associate – Overnight

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🔥 15 hours ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. • Communicate with nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions.

🎯 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 overnight, as well as work weekends and holidays on a rotating schedule. • Pharmacy technician certification (preferred). • Experience in pharmacy, managed care, Medicaid and/or Medicare organizations (preferred). • Ability to perform multiple tasks effectively. • Ability to work both independently and as part of a team.

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources, based on eligibility

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