Benefits Verification Representative, CVS Health

Benefits Verification Representative

CVS Health

Location:

United States, Mount Prospect

Category:

Customer Service

Contract Type:

Employment contract

Salary:

17.00 - 31.30 USD / Hour

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Job Description:

As a Benefits Verification Representative, this role involves serving as a liaison between patients, healthcare providers, and insurance carriers to process prescription orders. The position is primarily remote but includes onsite training in Mount Prospect, IL.

Job Responsibility:

Serving as a critical liaison between patients, healthcare professionals and insurance carriers
Efficiently solving insurance-related issues to process patient prescription orders for on-time delivery
Working in multiple systems and portals
Handling inbound patient and internal colleague calls
Making outbound calls on a daily basis.

Requirements:

Must live within 75 miles of Mount Prospect, IL
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
You must have a 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. WiFi and satellite are not permitted
A secure and private home workspace free from distractions is required.

Nice to have:

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, including requirements for referral, authorization, and pre-determination
Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms
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 with using Avaya-One X, Availity, Change HealthCare and/or CoverMyMeds.

What we offer:

Medical, dental, vision insurance
Wide-ranging list of supplemental benefits and discount programs
Sixteen paid days off
Ten paid holidays
401(k) retirement savings plan
Employee Stock Purchase Plan
Fully-paid term life insurance plan
Short-term and long-term disability benefits
Well-being programs
Education assistance
Free development courses
CVS store discount
Discount programs with participating partners.

Additional Information:

Job Posted:

March 19, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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