Network Relations Specialist
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 Internally supports and contributes to positive provider experience and relationships by handling daily provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Supports the maintenance of provider contract or demographic data.
Requirements
- 1-3 years' related customer service experience
- Strong verbal and written communication and interpersonal skills.
- Exposure to business segment specific policy, benefits, plan and product design and language.
- Working knowledge of business segment specific codes, products, and terminology.
Nice To Haves
- Exposure to provider relations
- Working knowledge of Medicare & Medicaid benefits
- Working knowledge of QNXT, EPDB, SCM and Claim Central (EDI) system
Responsibilities
- Handles daily provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status.
- Supports the maintenance of provider contract or demographic data.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
