Claim Audit Quality Specialist
Clinical Careers Page(8 days ago)
About this role
The Claim Audit Quality Specialist audits healthcare claims for accuracy and eligibility, identifying errors and participating in audits. They work within a production environment, utilizing system tools and collaborating with team members to ensure claims are processed correctly.
Required Skills
- claims Processing
- Auditing
- Excel
- Health Insurance
- Claims Review
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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