Pharmacy Technician – Claims Reviewer

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🔥 17 hours ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• reviewing pharmacy claims submitted through the CVS Health claims processing systems • identifying and rectifying claim inaccuracies that would result in client over-payment • contacting pharmacies for proper documentation to ensure a claim was submitted correctly • following appropriate policies in the event of an inaccurate claim submission

🎯 Requirements

• 6 months of Retail pharmacy experience • Valid Pharmacy Technician License or PTCB License • Reside within the Phoenix Metro area • Ability to multitask and work independently • Effective communication skills • Bachelor's degree preferred/specialized training/relevant professional qualification

🏖️ Benefits

• medical, dental, vision insurance • sixteen paid days off • ten paid holidays • wide-ranging list of supplemental benefits and discount programs

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