Nutrition Patient Care Coordinator- WFH

CVS Health

1d • $17 - $31 • Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. 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

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

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees