Ops Account-OPS - Coordinator Ii

CVS Health

117d • $18 - $38

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Employee will support the PIAB Overpayment Recovery Department, in a production and quality environment, by validating claims to determine if they are overpaid based on Aetna Policy and guidelines.

Requirements

• A minimum of 1+ years QNXT claims experience (reading or processing of claims).
• Excellent written communication skills.
• Exhibits Heart at Work Behaviors.
• Meeting or Exceeding all scorecard objectives for a rolling 12 months.
• Strong analytical and research skills.

Nice To Haves

• Basic experience in Microsoft Applications (Outlook, Excel, TEAMS).
• Experience in a production/quality environment.
• Experience in OPT, Document Viewer, CEQ, GPS, HRP, QNXT, ACAS.

Responsibilities

• Support the PIAB Overpayment Recovery Department.
• Validate claims to determine if they are overpaid based on Aetna Policy and guidelines.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Paid time off.
• Flexible work schedules.
• Family leave.
• Dependent care resources.
• Colleague assistance programs.
• Tuition assistance.
• Retiree medical access.

What This Job Offers

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