Medical Claim Analyst

Do you have a passion for healthcare and experience as a Medical Claim Analyst? CVS Health is looking for a dynamic individual just like you to join our team as a Medical Claim Analyst. In this role, you will be responsible for analyzing medical claims and verifying their accuracy. You will need to have a solid understanding of medical terminology, coding protocols, and a working knowledge of claim processing systems. If you have the qualifications and drive to succeed in this role, we would love to hear from you!

Responsibilities:

1. Analyze medical claims to ensure accuracy.
2. Verify coding protocols are properly used.
3. Monitor and evaluate claim processing system for errors.
4. Resolve any discrepancies in medical claims.
5. Maintain updated knowledge about medical terminology and coding protocols.
6. Generate timely reports related to medical claims.
7. Communicate with other departments to stay informed of changes in medical claims processing.
8. Respond promptly to inquiries from clients.
9. Handle medical claim appeals in a timely manner.
10. Maintain accurate records of medical claims and appeal decisions.

According to JobzMall, the average salary range for a Medical Claim Analyst is $35,000 - $50,000. This range may vary depending on experience, location, and the employer.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.