Claims Intake Processing Representative - Onsite Scottsdale, Arizona

CVS Health • Scottsdale, AZ

13d • Onsite

About The Position

This onsite role in Scottsdale, Arizona processes medical claims for reimbursement. The representative reviews claim documentation, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and supports accurate and timely claims processing through knowledge of medical coding and billing practices and effective communication.

The role also handles claims-related mailroom activities, including sorting mail by department, opening envelopes, extracting and copying contents, scanning mail according to Standard Operating Procedures, and printing and stuffing letters. The representative operates mailroom equipment and maintains the integrity of claims receipts according to standard claims operating and adjudication procedures. Work must meet turnaround times, client performance guarantees, and productivity and accuracy standards.

Requirements

• At least 1 year of experience.
• Experience with Microsoft Word, Excel, and Outlook.
• Ability to lift 20–35 pounds.
• Ability to pay very close attention to detail.
• Ability to access multiple online systems.
• Ability to reach, twist, turn, bend, stoop, and walk.
• Understanding of modern office practices, procedures, and equipment.
• Ability to work as a team member and independently at times with limited direction.
• Ability to work successfully in a fast-paced environment.
• Flexibility and/or ability to work overtime as needed to meet timelines.

Nice To Haves

• Previous PBM experience.
• 1 year of medical or dental claims experience.
• High school diploma or equivalent GED.

Responsibilities

• Sort interoffice and regular mail by department.
• Open envelopes and extract, copy, and tape down their contents.
• Scan mail in accordance with Standard Operating Procedures.
• Print letters and stuff envelopes.
• Operate mailroom equipment, including mail slicing machines, scanners, printers, and envelope openers.
• Maintain the integrity of claims receipts in accordance with standard claims operating and adjudication procedures.
• Work within turnaround times to meet client performance guarantees for claims processing.
• Meet productivity and accuracy standards.
• Review claim documentation, verify policy coverage, and assess claim validity.
• Communicate with healthcare providers and policyholders regarding claims.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay

What This Job Offers

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