Adjudication Associate (Omnicare) - Overnight

CVS Health

23h • $17 - $34

About The Position

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. Position Summary The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions.

Requirements

• At least 1 year of experience in customer service.
• 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 (rotating regularly) and holidays (several times per year).
• High school diploma or GED.

Nice To Haves

• Pharmacy technician certification.
• Previous experience in managed care and Medicaid and/or Medicare organizations.
• Ability to perform multiple tasks effectively.
• Ability to work both independently and as part of a team.
• Ability to operate independently.
• Dedicated and reliable nature.

Responsibilities

• Follows established procedures to execute routine business support tasks for the Adjudication Omnicare function under general supervision.
• Develops effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service.
• Conducts review and research of rejected claims and takes action for resolution.
• Handles work backlog of denied claims for timely resubmission.
• Ensures compliance with all government and regulatory requirements.
• Takes direction to execute techniques, processes, and responsibilities.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED