Claim Benefit Specialist Ops

CVS Health

📍 Harrisburg, PA, United States

Full-time other-general

Job Description

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.

**Position Summary**
Processing Medicare claims on the HRP-HealthEdge Platform

The Claim Benefit Specialist position is a production-based role servicing Medicare Advantage beneficiaries.

Additional responsibilities to include but not limited to the following:

+ Reviews and adjudicates Medicare medical claims in accordance with CMS claim processing guidelines. Role requires strong keyboard skills, attention to detail and the ability to work independently in a production environment.
+ Experience in a productio...
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