If you are looking for an exciting and challenging opportunity to support Federal Surprise Bill claim activity, the Federal Surprise Bill Team is looking for you. This role will require you to review open negotiation and independent dispute resolution inquiries received from providers/billing agencies for surprise bill eligible and respond back with decisions.

In this position, you will review provider requests to initiate the Federal Surprise Bill Open Negotiation process.

• Review email submissions and validate claim eligibility to determine if the claim was adjudicated as a Federal Surprise Bill claim
• Effectively communicate via email with providers and/or billing agencies with a response to their open negotiation request
• Log each open negotiation claim request into a QuickBase application with required details of the outcome
• Collaborate with other teams to complete tasks

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Required Qualifications:

• Flexible and ability to adapt to changing workflows
• Strong organizational and time management skills
• Excellent written and oral communication skills
• Ability to work independently
• Self-driven and ability to manage multiple priorities
• Strong work ethic
• Ability to multi-task to accomplish workload efficiently
• Desire to promote a positive work environment

Preferred Qualifications
Preferred Qualifications:

• Knowledge of Surprise Bill legal/regulatory requirements is a plus
• Medical billing Knowledge
• Working knowledge of Microsoft products (Word, Excel, Outlook)

Education
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent work experience.

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.