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Claim Processing Manager - Coram Resolution Team - Remote

at CVS Health

Posted: 2/14/2019
Job Reference #: 836137BR

Job Description

Job Title :
Claim Processing Manager - Coram Resolution Team - Remote
Job ID :
Location :
CO - Work from home
Category :
Description :
Job Description
Responsible for leading the Resolution Team in evaluating and resolving unbilled reports and suspended tasks, positively impacting the ship-to-cash cycle.

* Leads the daily activities of the Resolution Team by monitoring suspended reports, assigning workload, and managing job quality and productivity.

* Supervises the activities of subordinate staff, providing direction and guidance in work assignments. Responsible for all aspects of employee issues including hiring, training, performance evaluations, professional development, and terminations. Provides leadership and mentorship for staff to achieve customer satisfaction through effective communication, problem solving, professional phone etiquette, and efficient processes.

* Ensures compliance with federal, state, and local laws and regulations, policies and procedures, and accrediting body standards.

* Prepares and distributes summary analysis of suspended reports and root cause findings. Engages other parties as necessary to resolve.

* Assists managers and staff from Center of Excellence, Shared Services Center, and branches to resolve suspended issues.

* Participates in the development and implementation of training programs.

Required Qualifications
* Minimum two years of related experience.
* Demonstrated leadership and problem-solving skills.
* Excellent customer service orientation.
* Effective verbal and written communication skills.
* Strong attention to details and ability to manage tasks and projects to successful completion.
* Proficient in Microsoft Office software - Outlook, Word, Excel, and PowerPoint.

Preferred Qualifications
* Minimum five years of related experience.

* High school diploma.
* Associate's Degree preferred.

Business Overview
Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!