Employer: CVS Health
Position is eligible to be fully remote
- Supporting multiple health plans.
- The COB Representative under general supervision, verifies COB, makes changes to member records, updates CVS and addresses a variety of COB questions or concerns. Maintains member’s other insurance coverage in system.
- Responds, researches, and resolves COB claims related issues involving member specific information;
- Works directly with Health Plans and/or local claim operations 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
- Microsoft Office suite
- Attention to detail and accuracy
- Problem solving skills
- Strong organization skills
COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
- Understands the impact of work to other teams and downstream support areas.
- Ability to analyze and research data to make appropriate corrections as necessary.
- Strong verbal and written communication skills.
- QNXT
Education
- High School diploma, G.E.D. or equivalent experience