About this role
Medical Claim Analyst at Cvshealth. Location: Florida or Idaho or Arkansas or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or Alaska or New York or Hawaii or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or New Jersey or Indiana or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Wyoming or Delaware. Role: reviewing claims, researching claims, documenting history Requirements: Review provider claim re-submissions, research claims in ASD/ACAS/EWM, use Excel, meet quality and productivity metrics; high school diploma or GED required. Category: Business Operations Seniority: Entry Level Tools: ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix, DRG, ASD, ACAS/EWM, Aetna Strategic Desktop (ASD), Electronic Correspondence Handling System (ECHS), IFP, HRP, EWM, Microsoft Excel Commitment: Full Time Workplace: Hybrid Languages: English