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Cvs Medical Claims Processing Jobs (NOW HIRING)

Medical Claims Processor (Hybrid)

Phoenix, AZ ยท On-site

$19.26 - $24.99/hr

No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...

Medical Claims Processor (Hybrid)

Phoenix, AZ ยท On-site

$19.26 - $24.99/hr

No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...

... processing of professional and hospital claim forms files by provider. Reviewing the policies and ... Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using ...

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

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ...

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Process billing for in-network and out-of-network medical claims . * Review and resubmit claims under the No Surprises Act when applicable. * Maintain accurate electronic and physical claim files.

Processing of Professional and Hospital claim forms files by provider * Reviewing the policies and ... s) of Medical Claims experience * 2+ year(s) using a computer with Windows applications that ...

... processing health plan claims and supporting provider inquiries. Key Requirements Recent medical ... claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and ...

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Prior medical claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts ...

Medical Claims Examiner

Los Angeles, CA ยท On-site +1

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote ...

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Join our remote team as a Healthcare Benefits & Claims Specialist and help ensure claims are processed accurately and efficiently. If you're driven, organized, and knowledgeable in medical billing ...

Medical Claims Examiner

CA ยท Remote

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

Claims Adjudication Associate

Charlotte, NC ยท Hybrid

$17.25 - $23.50/hr

... medical claims processing. Position Responsibilities: * Review, assess, and make decisions on ... medical claims submitted by networks, claimants, or other parties. * Provide support to Customer ...

Showing results 21-40

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.

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Infographic showing various Cvs Medical Claims Processing job openings in the United States as of September 2026, with employment types broken down into 78% Full Time, and 22% Temporary. Highlights an 67% In-person, and 33% Remote job distribution.

Medical Claims Processor (Hybrid)

Phoenix, AZ โ€ข On-site

Redirect Health
Health Care and Social Assistanceย โ€ขย 201 - 500 employees

$19.26 - $24.99/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 29 days ago


Job description

Healthcare shouldn't be something you worry about when taking care of your family.
That's why when you join Redirect Health, your healthcare costs nothing out of your paycheck-and the same is true for your spouse and children.
  • No monthly premiums
  • No deductibles
  • No surprise medical bills

Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans.
This isn't a perk.
It's part of our mission.
Who We Are
Redirect Health exists to make healthcare affordable for small businesses and people who can't afford traditional employer insurance.
We help real people navigate a system that is often confusing, expensive, and frustrating-and we do it with empathy, accountability, and simplicity.
If you want your work to matter to families every single day, you'll find purpose here.
How We Work (Our Core Values in Action)
At Redirect Health, our values guide how we show up for each other, our clients, and our members.
We do our best work when we:
  • Obsess Over People - We are always helpful, friendly, and human
  • Own It to Completion - If we take something on, we see it through
  • Always Improve & Adapt - We learn quickly and adjust without ego
  • Start with "Yes, We Can Help You" - We lead with solutions
  • Succeed as a Team - We win through trust and collaboration
  • Detest Waste & Unnecessary Complexity - We simplify to focus on what matters

About This Role
Medical Claims Processor helps ensure claims are handled accurately and thoughtfully, so people can focus on getting the care they need without stress, confusion, or unexpected costs.
In this role, you will:
  • Serve members, clients, providers, and internal operations teams who rely on clear, accurate claims processing
  • Be responsible for getting claims right, resolving issues, and protecting the trust our members place in us
  • Directly impact how supported, confident, and cared for families feel when navigating healthcare

This is a hands-on role for someone who:
  • Enjoys detail-oriented work and solving problems that matter to real people
  • Takes ownership and follows through
  • Wants their work to have real-world impact

What You'll Do
In this role, you will:
  • Own: Making sure medical claims are reviewed and processed accurately, so members aren't left waiting or wondering what happens next
  • Support: Members and providers by answering questions and resolving claim issues with clarity and care
  • Collaborate with: Third-Party Administrator (TPA) partners, providers, and internal operations teams to keep things moving smoothly
  • Improve: Claims accuracy, turnaround time, and the overall experience for members navigating care
  • Advocate for: Members by making sure their claims are handled correctly and fairly the first time

A strong performer in this role is known for:
  • Caring about the details because they know those details affect real people
  • Staying calm, professional, and helpful when resolving issues or answering questions
  • Consistently delivering accurate, timely outcomes that members and teammates can trust

How Success Is Measured
Success in this role is measured by:
  • Accurate, high-quality claims processing that minimizes rework and delays
  • Consistently meeting production and quality standards
  • Timely resolution of claim-related questions and issues
  • Strong, respectful collaboration with internal teams and external partners

What We're Looking For
We're looking for someone who:
  • 1 year of experience in medical claims processing, preferred.
  • Proficiency in Microsoft Word, Excel, and Electronic Medical Record (EMR) systems, Required.
  • Ability to meet production and quality standards consistently.
  • Solid knowledge of Microsoft Excel and Word.
  • Professional, client-focused approach to colleagues and assignments.
  • This is a hybrid role, 3 days in office required.

Why Join Redirect Health
What "Free Healthcare" Actually Means
When we say free, we mean no money out of your paycheck and no cost when you need care:
  • No monthly premiums
  • No cost to add your spouse or children
  • No deductibles (we reimburse them)
  • No out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.
What You'll Earn
  • Pay Range: $19.26 - $24.99/ Hour
  • FREE healthcare for you and your entire family
  • Dental & Vision insurance
  • Paid time off & sick time
  • 401(k) access
  • A mission-driven team that believes in doing the right thing

Ready to Make a Difference?
If you're looking for more than just a job-and want to help reshape how healthcare works for families-we'd love to hear from you.
Legal Stuff
Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.
The pay range for this role is:
19.26 - 24.99 USD per hour (Phoenix)