Nutrition Patient Care Coordinator- WFH

CVS Health

4d•$17 - $31•Remote

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The primary responsibilities of the Patient Care Coordinator (PCC)- WFH are to provide an optimal customer service experience for our patients, physicians, caregivers, and internal departments to answer questions, solve problems, provide education, and maintain our company’s reputation for high-quality service. Responsibilities will also include verifying insurance coverage, perform benefit investigation, and obtain prior authorization. The PCC will support the patient from the point of admissions/onboarding through the benefits verification and billing process to ensure a seamless experience for the customer.

Requirements

Two years’ experience in a customer service or high-volume call center role
One yr. experience healthcare, pharmacy, medical insurance, or billing environment
Minimum one year experience working in Microsoft Office, specifically Excel, Outlook, and Word.
Excellent verbal communication skills including active listening.
Working knowledge of insurance, health care, processing of new referrals, providing customer education, and routine assessment and problem identification
Ability to assess a situation and identify potential issues or problems.
Ability to education and explain complex information in a simplified manner.
Ability to display empathy and patience when dealing with confused or irate customer.
Attention to detail with the ability to capture necessary information from the patient discussion while toggling between numerous computer applications.
Ability to multi-task, prioritize and manage time effectively.
Ability to work independent and to be self-directed to complete responsibilities.
Sits at desk for long periods of time.
Talking on phone for extended periods of time
Computer use for extended periods of time.
Reading a computer screen
High School Diploma or General Equivalent Development (GED)

Nice To Haves

Preferred pharmacy, PBM or Specialty pharmacy experience
Preferred experience working with medical billing procedure.
Preferred experience working with Prior authorizations.
Preferred knowledge of Medicare, Medicaid, and third-party vendors.
Preferred knowledge of government and patient assistance programs
Equivalent Experience

Responsibilities

provide an optimal customer service experience for our patients, physicians, caregivers, and internal departments to answer questions, solve problems, provide education, and maintain our company’s reputation for high-quality service
verifying insurance coverage
perform benefit investigation
obtain prior authorization
support the patient from the point of admissions/onboarding through the benefits verification and billing process to ensure a seamless experience for the customer

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including 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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume