Claim Benefit Specialist - Work From Home

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This role is for Meritain Health PBM Operations Team and is responsible for processing PBM vendor invoices and claims. The PBM Processor is assigned a set of groups to maintain their invoices on a weekly, bi-weekly or monthly basis. Job Duties include (but not limited to): Imports and monitors PBM claims data and invoice files. Reconciles and balances claims data and invoices in the claims processing system. Coordinates client billing and invoice payments. Communicate invoice processing errors/delays to Client Management. Communicate missing files for assigned book of business to File Management. Maintain Invoice Tracker by keeping assigned book of business up to date. Manage special accommodation products as required. (i.e. International Sourced Drugs, complex PBM vendors, high profile clients). Reconcile aging reports and stop loss inquiries. Meet key performance metrics including production, quality, and turnaround time. The ability to independently handle multiple assignments competently, accurately, and efficiently. Required Qualifications 2 years + experience with data entry or claims processing experience 1-3 years of Customer Service experience If near an office location; Onsite 3 days will be required Preferred Qualifications High Level understanding and use of Microsoft Excel Strong attention to detail Work effectively in a team environment Ability to work overtime if necessary Education High School diploma, G.E.D. or equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $31.30 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | CVS Health We anticipate the application window for this opening will close on: 03/21/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area. Apply Job!