CVS Health
Claim Field Specialist (South Florida)
$47K–$102K
Field-Florida · Field · Full-time · Posted Oct 29, 2026
- Experience
- 2+ years in medical billing and coding, specifically related to claims processing and root cause analysis; 2+ years in provider engagement and/or relations.
- Education
- High school diploma or GED.
About the job
Educates providers on claims, billing practices, denials, and resolution processes to improve claim submission and payment outcomes.
What you'll do
- Analyze denial, dispute, and appeal trends to identify provider education opportunities.
- Develop and deliver provider training, bulletins, and other educational materials on claims and billing policies.
- Meet with providers, answer claim questions, and coordinate resolution with internal teams.
What they ask for
- 2+ years of experience in medical billing and coding related to claims processing and root cause analysis.
- 2+ years of experience with provider engagement and/or relations.
- Working proficiency in Microsoft Office; advanced Microsoft Excel experience for data mining.
- Must reside in the specified Central Florida areas and be willing to travel 70% within Central Florida.
Nice to have
- Excellent verbal and written communication skills.
- Associate’s or Bachelor’s degree; Certified Professional Coder (CPC) certification.
Pay
$46,988.00 - $102,000.00 (base salary)
Tools
Microsoft Office, Word, Excel, PowerPoint, Outlook
Model-written summary · the original posting is authoritative