CVS Health-posted 3 months ago
$17 - $28/Yr
Full-time • Entry Level
Remote • Work at Home, AZ
5,001-10,000 employees
Ambulatory Health Care Services

CVS Health/Specialty is offering an exciting opportunity to be part of our Benefits Verification team. This is primarily a WORK FROM HOME position. However, candidates must live within a 75-mile commutable distance from Chandler, AZ because this person will be required to come onsite for a 4-week new hire training (you may also be asked to come into the office for IT/ Technical issues, Performance Review/Evaluation, etc). Training in-person allows our new team members to familiarize themselves with members of training, support, leadership, and their new peers to ensure a successful and team-focused onboarding experience. As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will utilize your skills and healthcare industry expertise to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery. In this role, you will work in multiple systems and portals, and handle inbound patient and internal colleague calls, as well as make outbound calls on a daily basis. Successful candidates in this role will embody our heart at work behaviors and possess excellent computer navigation skills, interpersonal skills to put people first and deliver personalized patient experiences, strong attention to detail, a solution orientated mindset removing obstacles to make experiences easier and rising to the challenge to help our patients, and a goal-driven work ethic.

  • Act as a liaison between patients, healthcare professionals, and insurance carriers.
  • Utilize healthcare industry expertise to solve insurance-related issues.
  • Process patient prescription orders for on-time delivery.
  • Handle inbound patient and internal colleague calls.
  • Make outbound calls to patients regarding insurance benefits.
  • Must live within 75 miles of Chandler, AZ.
  • 1+ years of experience in 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.
  • Direct/hardwired internet connection to a modem/router within 7 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.
  • 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.
  • Experience receiving inbound calls and making outbound calls to patients to explain insurance benefits.
  • Knowledge with using Avaya-One X, Availity, Change HealthCare and/or CoverMyMeds.
  • Affordable medical plan options.
  • 401(k) plan (including matching company contributions).
  • Employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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