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Position Summary

This position supports the Medicare Coordination of Benefits team, ensuring the accuracy of other primary insurance carrier information and supporting the functions of the coordination of benefits team.

Position is eligible to be fully remote Supporting multiple Medicare health plans. The COB Representative under general supervision, verifies COB, makes changes to member records, updates the pharmacy system and addresses a variety of COB questions or concerns. Maintains member’s other insurance coverage in system.Responds, research, and resolves COB claims related issues involving member specific information; Works directly with internal customers to achieve positive service outcomes. (*) Monitors daily status reports assessing output for developing trends potentially impacting service levels. Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing COB information for accuracy and completeness; partnering with appropriate internal/external support areas when needed. Enters all requirements related to the systems processes impacting the generation. When necessary, reviews and corrects transaction errors impacting eligibility interfaces. Determines and communicates standard service charges to internal/external customers related to COB activities; Partners with other team to coordinate the release of COB information.

Required Qualifications:- Communicating for Impact- Collaborating for Results- Working Across Boundaries- Microsoft Office suite- Attention to detail and accuracy- Problem solving skills- Strong organization skills

Preferred Qualifications

2-3 years claims processing and/or coordination of benefits experience preferred

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

Pay Range

The typical pay range for this role is:

$17.00 - $29.88

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 07/05/2024

We are an equal opportunity and affirmative action employer. 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.