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Benefits Verification Representative - Work From Home Hawaii

Remote, USA Full-time Posted 2025-04-16

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand ?? with heart at its center ?? our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors?? support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

CVS Health is offering a unique opportunity to be part of an extremely talented team within CVS Specialty as a Benefits Verification Representative. This position will require you to demonstrate strong attention to detail, utilize problem solving skills, and be a highly focused, performance-driven individual with a background in pharmacy or the healthcare field. You will need to have an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs. Are you ready to take the next step in furthering your career?

In order to be successful in this role you must be able to verify insurance coverage for both new and existing patients and process patient prescription orders in a timely manner. You'll have to demonstrate excellent customer service to patients, healthcare professionals and insurance carriers.

This is a full time position. We're open Monday thru Friday from 8am-6pm and you must be willing to work 40 hours within this schedule. No weekends, limited holidays and covered parking on-site.

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

    Our application process is 2 simple steps.
  • Apply online
  • Take your time while completing our Virtual Job Tryout (VJT)
    Required Qualifications
  • 6 months of experience with medical insurance, benefits verification, medical billing or a patient/ healthcare customer service.
    Preferred QualificationsBachelor's Degree in Communications or Healthcare related field.
  • Pharmacy experience (PBM, Specialty, etc).
  • Previous experience working with Prior Authorizations.
  • Knowledge of Medicare, Medicaid, and third party vendors.
  • Healthcare related certifications and/or licensure.

Education

  • Verifiable High School diploma or GED is required

Pay Range

The typical pay range for this role is:

$17.00 - $34.15

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company??s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (??PTO??) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 08/12/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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