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[Remote] Provider Data Services Specialist (Must reside in Arizona)

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Provider Data Services Specialist will execute routine business support tasks for the Data Services function, interact with key specialists, and ensure data integrity through audits and customer inquiries.

Responsibilities

  • 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
  • Supports applicable Open Enrollment activities related to establishing and updating company benefits

Skills

  • 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.)
  • High school diploma or GED
  • Working knowledge of problem solving and decision-making skills
  • Strong attention to detail
  • Excellent organization and time management skills
  • Basic communication skills

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • 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.

Company Overview

  • CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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