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Pharmacy Technician- Billing Adjudicator

Company: CVS Health
Location: Peabody
Posted on: January 11, 2019

Job Description:

Job Description -Review and research rejected Third-Party claims taking appropriate action to resolve. -Work backlog of denied claims for timely resubmission. -Manage assigned queues keeping up-to-date and current on all claims. -Workflow grid is cleared daily meet productivity criteria -Specific denials including new patient overrides -Follow all applicable government regulations including HIPAA. -Display behavior which exemplifies the Core Values. -Other duties as deemed necessary Required Qualifications Entry-Level familiarity with Excel/Access Perform multiple tasks effectively Able to work both independently and as part of a team Preferred Qualifications Pharmacy technician certification highly preferred Experience in pharmacy, managed care, Medicaid and/or Medicare organizations Education High school diploma or equivalent Business Overview CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation's largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units - MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers. CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process. For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

Keywords: CVS Health, Portland , Pharmacy Technician- Billing Adjudicator, Healthcare , Peabody, Maine

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