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Cvs Medical Claims Processing Jobs (NOW HIRING)

MedPOINT Management

Claims Examiner

Sherman Oaks, CA · Remote

$20 - $25/hr

Review, analyze, and process medical claims in accordance with plan benefits and company guidelines * Verify member eligibility, provider information, and coverage details prior to claims ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

Healthcare Support Staffing

Claims Processor

Tampa, FL · On-site

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

Capital Rx

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single ...

Capital Rx

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single ...

CVS Health

Medical Claim Analyst

$18.50 - $38.82/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Medical management concepts Preferred Qualifications * Healthcare claims processing * Utilization ...

Allied

Manager, Claims Processing

Chicago, IL · On-site +1

$70K - $85K/yr

A minimum of 5 years of medical claims analysis and adjudication experience (including dental and ... and process. It is at the Company's discretion to determine what pay is provided to a candidate ...

Moda Health

Medical Claims Entry Operator

Milwaukie, OR · On-site

$17.34 - $18.92/hr

Position Summary Enters the processing system all claims received by mail or route claims as ... Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... claims processing as well as providing suggestions for potential process improvements. * Performs ...

Judi Health

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

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

Judi Health

Claims Adjudication Associate

Charlotte, NC · On-site

$82K - $103K/yr

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

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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.

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For Cvs Medical Claims Processing jobs, the most frequently searched job titles are:

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.

Claims Examiner

Sherman Oaks, CA • Remote

MedPOINT Management
Outpatient Health Care • 501 - 1,000 employees
Learn more about MedPOINT Managementexternal

$20 - $25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Wellness resources
  • Company parties
  • Employee discounts
  • Free food & snacks
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development

About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Claims Examiner to join our growing team. This is a great opportunity to play a key role in the healthcare management space, ensuring accurate and timely processing of medical claims. If you thrive in a fast-paced environment and have a passion for precision, we want to hear from you!
Responsibilities:
  • Review, analyze, and process medical claims in accordance with plan benefits and company guidelines
  • Verify member eligibility, provider information, and coverage details prior to claims adjudication
  • Identify and resolve claims discrepancies, duplicates, and billing errors
  • Apply ICD-10, CPT, and HCPCS coding knowledge to ensure accurate claims processing
  • Coordinate with providers, members, and internal departments to resolve claims inquiries
  • Maintain accurate records and documentation in claims management systems
  • Ensure compliance with state and federal healthcare regulations, including HIPAA
Requirements:
  • 2+ years of experience in medical claims processing or claims examination
  • Proficiency in ICD-10, CPT, and HCPCS coding
  • Familiarity with HMO, PPO, and managed care plan structures
  • Strong knowledge of EOB (Explanation of Benefits) and claims adjudication processes
  • Experience with claims management software and healthcare information systems
  • Excellent attention to detail and strong analytical skills
  • Effective written and verbal communication skills
  • Knowledge of HIPAA regulations and healthcare compliance standards
About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. Our clients trust us to manage their operations with integrity, efficiency, and a patient-first mindset. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.

This is a remote position.