Job Details

CVS Health - - Responsibilities: Engages, consults and educates members based upon the member's unique needs; Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors; Documents and tracks contacts with members, providers and plan sponsors; Explains member's rights and responsibilities in accordance with contract; Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system