Senior Claim Benefit Specialist Operations (Encounters)

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.

• Minimum 2 years of medical claims processing experience (Commercial, Medicaid, Medicare).
• Experience working in a production environment.
• Strong analytical and problem-solving skills, especially in researching claims.
• Proficiency in MS Office Suite applications; Excel, Word, OneNote
• Ability to work independently and as a team.

• QNXT or Facets claims processing experience.
• Experience in Medicaid or Medicare claims.
• Encounters experience.
• Edifecs system knowledge.

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.