Are you an experienced and compassionate Appeals Nurse Associate looking for a fulfilling role at CVS Health? We’re looking for a motivated individual who is passionate about providing exceptional patient care to join our team. In this role, you will be responsible for providing support and guidance to CVS Health clients as they navigate the appeals process.The ideal candidate for this position should have experience in the healthcare industry, as well as a strong knowledge of the appeals process. We’re looking for someone who is organized, detail-oriented, and able to resolve complex issues in a timely manner. Additionally, we’re seeking a candidate who is passionate about providing the best possible care to our clients and is committed to delivering outstanding customer service. If this sounds like you, then we’d love to hear from you!
Responsibilities:
- Provide support and guidance to CVS Health clients as they navigate the appeals process.
- Resolve complex issues in a timely manner.
- Demonstrate a strong knowledge of the appeals process and healthcare industry.
- Maintain a high level of organization and attention to detail.
- Deliver outstanding customer service.
- Ensure compliance with all applicable laws and regulations.
- Investigate and document any potential issues or concerns.
- Analyze data and reports to identify trends.
- Monitor and track appeal cases.
- Communicate with internal and external stakeholders.
Knowledge Of Medical Terminology
Excellent Customer Service And Communication Skills
Familiarity With Cvs Health Policies And Procedures
Ability To Work Independently With Minimal Supervision
Strong Organizational And Problem Solving Skills
Experience With Insurance Claims And Appeals Processes
Knowledge Of State And Federal Regulations Regarding Appeals
Understanding Of Basic Medical Coding
Documentation
Communication
Negotiation
Leadership
Listening
Empathy
Organization
Analytical
Patience
Problem-Solving
Adaptability
Decision-Making
Mediation
Interpersonal
Time-Management
Communication
Leadership
Negotiation
Problem Solving
Time management
Interpersonal Skills
self-motivation
Critical thinking
Teamwork
Adaptability
According to JobzMall, the average salary range for a Appeals Nurse Associate is $45,000 to $85,000. The salary range will depend on the experience, qualifications, and location of the position.
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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.
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