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Cvs Medical Claims Processing Jobs (NOW HIRING)

Imagenet

Claims Examiner - Remote

Jacksonville, NC · Remote

$17 - $18/hr

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

Searhc

Medical Claims Specialist

Juneau, AK · On-site

$25 - $28.45/hr

Mental fatigue exists with the high level of concentration necessary to properly process medical claims for payment accurately and timely. The employee must be able to work under stressful conditions.

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

Imagenet

Claims Examiner - Remote

Boise, ID · Remote

$17 - $18/hr

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

Imagenet

Claims Examiner - Remote

Saint Louis, MO · Remote

$17 - $18/hr

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

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 ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · On-site

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

BLACKBURN'S

Claims Specialist

Tarentum, PA · On-site

Position Summary The Claims Processing Specialist is responsible for managing third-party medical claims, insurance documentation, and reauthorization processes to support uninterrupted patient care ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

North Myrtle Beach, SC · On-site

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

Myrtle Beach, SC · On-site

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

Myrtle Beach, SC

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

North Myrtle Beach, SC · On-site

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

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All JobsCvs Medical Claims Processing Jobs

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
What job categories do people searching Cvs Medical Claims Processing jobs look for? The top searched job categories for Cvs Medical Claims Processing jobs are:

Claims Examiner - Remote

Imagenet

Jacksonville, NC • Remote

$17 - $18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission is to help clients reduce costs and increase productivity by providing streamlined solutions in document imaging, data validation, adjudication, and on-demand retrieval of documents and data.


We are looking forExperiencedClaims Processor to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.


Job Type: Full-time

This is a fully remote position

Pay: $17-18 per hour DOE


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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