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Benefits Verification Representative

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Fairfield

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

17.00 - 34.15 USD / Hour

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
Job Link Share:

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