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!
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