Claims Intake Processing Representative - Onsite Scottsdale, Arizona
About The Position
The Claims Intake Processing Representative works on-site at the Scottsdale, Arizona location. The role performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and supports accurate, timely medical claims processing for reimbursement. It contributes to efficient claims handling through knowledge of medical coding and billing practices and effective communication skills. The role includes sorting, opening, extracting, copying, and preparing incoming mail; scanning mail according to Standard Operating Procedures; printing letters and stuffing envelopes; and operating mailroom equipment. The representative maintains the integrity of claims receipts in accordance with claims operating and adjudication procedures, works within turnaround times to meet client performance guarantees, and meets productivity and accuracy standards.
Requirements
- At least 1 year of 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 systems online.
- 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.
- High school diploma or equivalent GED.
Nice To Haves
- Previous PBM experience.
- At least 1 year of medical or dental claims experience.
Responsibilities
- Sort interoffice and regular mail by department.
- Open envelopes and extract, copy, and tape down items.
- 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, assess claim validity, and communicate with healthcare providers and policyholders.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources based on eligibility
- Eligibility for a CVS Health bonus, commission, or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
