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Cvs Medical Claims Processing Jobs (NOW HIRING)

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical necessity, appropriateness of care and ...

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

As a key member of our organization, you will be responsible for processing medical claims accurately, conducting thorough audits to ensure compliance with regulations and policies, and providing ...

Be Seen First

This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...

Urgent

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Cvs Medical Claims Processing information

What is the difference between Cvs Medical Claims Processing vs Medical Billing Specialist?

AspectCvs Medical Claims ProcessingMedical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing softwareCertification in medical billing or coding often preferred
Work EnvironmentHealthcare facilities, insurance companies, or outsourcing companiesMedical offices, clinics, or billing companies
Industry UsagePrimarily in insurance claims and healthcare reimbursementInvolved in billing, coding, and invoicing for healthcare providers

Both roles involve handling healthcare financial transactions, but Cvs Medical Claims Processing focuses on submitting and managing insurance claims, while Medical Billing Specialists handle invoicing and coding for patient services. Understanding these differences helps job seekers target the right position in the healthcare revenue cycle.

More about Cvs Medical Claims Processing jobs
Medical Claims Processor

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago


Job description

Are you an experienced medical claims processor? This could be the opportunity for you!

What you'll be doing...

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned

 Located in Mountlake Terrace, WA, Federal Way, WA or our Seattle, WA office. 

Who you are...

  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr.
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance