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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. At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to not only help people get well, but help them stay well in body, mind and spirit.
Job Responsibility:
Reviewing pharmacy claims submitted through the CVS Health claims processing systems
Identify and rectify claim inaccuracies that would result in client over-payment
Contact pharmacies for proper documentation to ensure a claim was submitted correctly
Monitor assigned clients and report status on a regular basis
Follow the appropriate policies in the event of an inaccurate claim submission