Benefits Verification Representative, CVS Health

Benefits Verification Representative

CVS Health

Location:

United States, Las Vegas

Category:

Customer Service

Contract Type:

Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

As a Benefits Verification Representative at CVS Health, you will help patients navigate their healthcare benefits by acting as a critical liaison between them, healthcare professionals, and insurance carriers. You will handle insurance-related issues, process orders, and ensure timely prescription delivery while working in a primarily remote setting.

Job Responsibility:

Act as a liaison between patients, healthcare professionals, and insurance carriers
Solve insurance-related issues to process patient prescription orders for on-time delivery
Work in multiple systems and portals
Handle inbound and outbound calls to patients and internal colleagues.

Requirements:

Must live within 75 miles of Las Vegas, NV
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
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 insurance
Dental insurance
Vision insurance
401(k) retirement savings plan
Employee Stock Purchase Plan
Term life insurance
Short-term disability benefits
Long-term disability benefits
Paid Time Off (PTO)
Ten paid holidays
CVS store discount
Various discount programs
Well-being programs
Education assistance
Free development courses.

Additional Information:

Job Posted:

March 19, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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