Benefits Verification Representative, CVS Health

CVS Health

Location:
United States, Chandler

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

CVS Health is seeking a Benefits Verification Representative to work in a primarily remote position. This role involves solving insurance-related issues, handling system navigation, and working with patients, healthcare professionals, and insurance carriers.

Job Responsibility:

Act as a critical 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 patient and internal colleague calls
Make outbound calls on a daily basis.

Requirements:

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
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
Sixteen paid days off for employees
Ten paid holidays
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost wellness programs including screenings, tobacco cessation, and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Tuition assistance
Retiree medical access.

Additional Information:

Job Posted:
June 01, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Benefits Verification Representative