Pharmacy Technician - Claims Reviewer

CVS Health•Phoenix, AZ

5d•Onsite

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. The Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Reviewer will identify and rectify claim inaccuracies that would result in client over-payment. In order to be successful in this role you will contact pharmacies for proper documentation to ensure a claim was submitted correctly. In the event of an inaccurate claim submission, you will follow the appropriate policies.

Requirements

6 months of Retail pharmacy experience
Valid Pharmacy Technician License or PTCB License
Reside within the Phoenix Metro area
High School Diploma or equivalent GED

Nice To Haves

Ability to multitask and work independently
Effective communication skills
Bachelor's degree preferred/specialized training/relevant professional qualification.

Responsibilities

Review pharmacy claims submitted through the CVS Health claims processing systems.
Identify and rectify claim inaccuracies that would result in client over-payment.
Contact pharmacies for proper documentation to ensure a claim was submitted correctly.
Follow appropriate policies in the event of an inaccurate claim submission.