Ops Account-OPS - Coordinator Ii
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.Position SummaryEmployee 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. Disclaimer: This position has a flexible schedule with start times ranging between 5:00 AM and 9:30 AM in your specific time zone. At times, a late day meeting may be scheduled and attendance will be required.
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, ACASE
Responsibilities
- 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.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Ambulatory Health Care Services
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
