Benefits Verification Representative, CVS Health

CVS Health

Location:
United States, Fairfield

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 34.15 USD / Hour

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Job Description:

CVS Health/Specialty is offering an exciting opportunity to be part of our Benefits Verification team. This is primarily a WORK FROM HOME position. As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will utilize your skills and healthcare industry expertise to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery.

Job Responsibility:

Serve as 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 Fairfield, NJ
1+ years of experience in healthcare environment with experience working with medical insurance, benefits verification, medical billing, or 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
Direct/hardwired internet connection to modem/router within 7 feet of computer
Minimum download speed of 25 mbs download and 3 mbs upload
Secure and private home workspace free from distractions

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 (PPO, HMO, EPO, POS, Medicare, Medicaid, HRA's)
Experience with reading and understanding medical policy information
Experience receiving inbound calls and making outbound calls to patients
Knowledge with using Avaya-One X, Availity, Change HealthCare and/or CoverMyMeds

What we offer:

Medical, dental, vision insurance
Supplemental benefits and discount programs
Sixteen paid days off
Ten paid holidays
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 10, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Benefits Verification Representative