Experienced Benefits Verification Representative - Remote Work Opportunity in Healthcare Insurance and Patient Services

Introduction to CVS Health and Our Mission At CVS Health, we are driven by a clear purpose: to bring our heart to every moment of your health. This purpose is the foundation of our commitment to delivering enhanced, human-centric healthcare for a rapidly changing world. Our brand, with heart at its center, sends a personal message that how we deliver our services is just as important as what we deliver. We are looking for a skilled and compassionate Benefits Verification Representative to join our team, working remotely with occasional on-site training and collaboration. About the Role As a Benefits Verification Representative, you will be a critical liaison between our patients, healthcare professionals, and insurance carriers. Your primary responsibility will be to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery. This role requires excellent computer navigation skills, strong interpersonal skills, attention to detail, and a solution-oriented mindset. You will work in multiple systems and portals, handle inbound patient and internal colleague calls, and make outbound calls on a daily basis. Key Responsibilities: Utilize healthcare industry expertise to verify benefits and resolve insurance-related issues for patients. Work in multiple systems and portals to process patient prescription orders efficiently. Handle inbound patient and internal colleague calls, and make outbound calls to resolve issues and provide excellent customer service. Embodify our Heart At Work Behaviors, putting people first and delivering personalized patient experiences. Collaborate with cross-functional teams to ensure seamless delivery of healthcare services. Essential Qualifications To be successful in this role, you will need: 1+ years of experience in a healthcare environment, with experience working with medical insurance, benefits verification, medical billing, or a related field. 1+ years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email applications. 1+ years of computer keyboarding experience, skills, and aptitude. A direct/hardwired internet connection to a modem/router within 10 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. A secure and private home workspace free from distractions. Must live within 75 miles of Monroeville, PA, for occasional on-site training and collaboration. Preferred Qualifications While not required, the following qualifications are preferred: Pharmacy or Healthcare Benefits experience. Previous experience working with Prior Authorizations. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA’s) and coordination of healthcare benefits. Experience with reading and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility. Experience receiving inbound calls and making outbound calls to patients to explain insurance benefits related to health insurance, and/or discussing patient financial responsibilities. Knowledge of using Avaya-One X, Availity, Change HealthCare, and/or CoverMyMeds. Education and Pay Range A High School Diploma or equivalent work experience is required. The typical pay range for this role is $17.00 - $28.45 per hour, depending on experience and location. Career Growth Opportunities and Learning Benefits At CVS Health, we are committed to the growth and development of our colleagues. As a Benefits Verification Representative, you will have access to numerous training and development opportunities, including: Comprehensive onboarding program, including 4 weeks of on-site training. Ongoing training and development programs to enhance your skills and knowledge. Opportunities for career advancement and professional growth. Access to free development courses and education assistance programs. Work Environment and Company Culture Our company culture is built on our Heart At Work Behaviors, which include: Putting people first and delivering personalized patient experiences. Embodying a solution-oriented mindset and rising to the challenge to help our patients. Collaborating with cross-functional teams to ensure seamless delivery of healthcare services. Embracing a goal-driven work ethic and striving for excellence in everything we do. Compensation, Perks, and Benefits In addition to a competitive salary, we offer a comprehensive benefits package, including: Medical, dental, and vision insurance. 401(k) retirement savings plan and Employee Stock Purchase Plan. Fully-paid term life insurance plan and short-term and long-term disability benefits. Paid Time Off (PTO) and paid holidays throughout the calendar year. CVS store discount and discount programs with participating partners. Numerous well-being programs and education assistance programs. Conclusion If you are a motivated and compassionate individual with a passion for delivering exceptional patient experiences, we encourage you to apply for this exciting opportunity. As a Benefits Verification Representative, you will play a critical role in our team, working remotely with occasional on-site training and collaboration. Don’t miss out on this chance to join our team and start your future with CVS Health. Apply now! Apply for this job