Claims Medicare Supp Auditor - Hybrid TN

Job Description
Claims Medicare Supplement Auditor providing quality audit reviews to manual processors as well as system audit reviews regarding Medicare Supplement health claims. Communicate to impact. Team collaboration.
Claims audit reviews to ensure proper claims adjudication. Review and assesses appropriateness of document changes in accordance with internal procedures as well as state regulations. Contributes to reviewing claims for adequacy of root cause, corrections, corrective actions, preventive actions and effectiveness. Must be excellent problem solver and proactive solution seeker. Ability to work in a fast paced environment. Worked in a previous production environment. Excellent attention to detail; sound judgment; initiative and flexibility. Strong interpersonal communication and relational skills. Excellent verbal and written skills, ability to interact within all levels of organization.

Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Required to be located in TN; Hybrid work model 2 days in-office required
Tuesday & Wednesday onsite required

1 + years Medicare Supplement Claims processing/ audit experience.
1 year Call Center and/ or production based environment

Preferred Qualifications
1+ years Medicare Supplement or related Health insurance experience in claims/ processing/ audit environment that reflects a proven track record or proficiency in the competencies noted. Basic Microsoft Outlook, Microsoft Teams experience helpful. Excel. Intermediate/Advanced proficiency in office technology.

Education
High School diploma, G.E.D. or equivalent experience

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.