Provider Data Services Specialist (Must reside in Arizona)

CVS Health•Work At Home-Arizona, AZ

2d•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. Position Summary Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision. Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables. Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress. Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries. Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution. Supports Data Services Change Management and Process optimization strategies, in order to achieve optimal outcomes. Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities. Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work. Perform other duties as assigned.

Requirements

Must reside in Arizona.
At least 1 year of healthcare and/or data entry experience.
Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

Nice To Haves

Intermediate proficiency in Microsoft Excel, working with formulas and large data sets.
Working knowledge of problem solving and decision-making skills.
Strong attention to detail.
Excellent organization and time management skills.
Basic communication skills.

Responsibilities

Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries.
Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
Supports Data Services Change Management and Process optimization strategies, in order to achieve optimal outcomes.
Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
Perform other duties as assigned.