Support Medicaid providers with claims research, credentialing, and issue resolution while delivering excellent customer service.
About CVS Health
CVS Health is the nation’s leading health solutions company, connecting millions of Americans to care through local presence, digital access, and over 300,000 colleagues. The team is committed to helping providers and members navigate benefits and services with compassion and clarity.
Schedule
- Full-time, 40 hours per week
- Monday–Friday, shifts between 7:00 AM–7:00 PM local time
- Remote role requiring secure, quiet workspace
What You’ll Do
- Handle inbound provider calls related to Medicaid claims inquiries and research payment questions.
- Educate providers on plan details, benefits, and self-service tools.
- Process claim referrals, grievances, appeals, and provider credentialing requests.
- Research coverage, eligibility, and medical necessity to resolve issues.
- Compile claim data for audits and ensure compliance with HIPAA and CVS Health guidelines.
What You Need
- High school diploma or GED
- Strong customer service and critical thinking skills
- Ability to navigate multiple systems while on calls
- High-speed wired internet (100 Mbps+), direct connection to router required
- Private, secure workspace
Preferred
- Healthcare background
- Experience in a high-volume call center
Benefits
- Pay: $17.00–$31.30 per hour
- Affordable medical, dental, and vision coverage
- 401(k) with company match and stock purchase plan
- PTO, flexible schedules, and family leave
- No-cost wellness and counseling programs
- Tuition assistance and retiree medical access
Applications close October 3, 2025 – apply early to secure your spot.
Join CVS Health and make a difference by supporting providers and ensuring members receive quality care.
Happy Hunting,
~Two Chicks…