Experienced Full Time Remote Benefits Verification Representative – Healthcare Insurance and Patient Support Specialist

Introduction to CVS Health and Our Mission

At CVS Health, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle shapes our commitment to delivering human-centric healthcare in a rapidly evolving world. Our brand, with heart at its core, conveys a personal message that emphasizes the importance of how we deliver our services, not just what we deliver. As a leader in the healthcare industry, we strive to make healthcare more personal, convenient, and affordable for all. Our Heart At Work Behaviors support this mission, empowering every team member to play a vital role in transforming our culture and driving innovation.

Job Overview: Benefits Verification Representative

We are seeking a highly motivated and experienced healthcare professional to join our national team as a Benefits Verification Representative. In this dynamic role, you will work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV therapy for Coram's patients. As a key member of our team, you will be responsible for creating a positive experience for our patients by verifying insurance coverage, performing benefit investigations, and obtaining prior authorization for both new and existing patients. Your excellent customer service skills will be essential in interacting with patients, healthcare professionals, and insurance carriers.

Key Responsibilities:

• Verify insurance coverage and perform benefit investigations to ensure timely processing of patient prescription orders
• Obtain prior authorization for new and existing patients, demonstrating excellent customer service skills in interactions with patients, healthcare professionals, and insurance carriers
• Develop a deep understanding of insurance carriers and concepts, including drug cards, major medical benefits, and per diem coverage
• Familiarize yourself with government and patient assistance programs to provide comprehensive support to patients
• Work independently and as part of a team to achieve departmental goals and objectives
• Maintain accurate and detailed records, utilizing strong analytical and problem-solving skills to resolve complex issues

Essential Qualifications:

To be successful in this role, you will need:

• Strong analytical and problem-solving skills, with attention to detail and ability to work independently
• Experience working in Microsoft Office, specifically Excel, Outlook, and Word, with strong computer skills
• Excellent communication and customer service skills, with the ability to interact with patients, healthcare professionals, and insurance carriers

Preferred Qualifications:

While not required, the following qualifications are preferred:

• Minimum one year of experience working in a healthcare environment, with knowledge of healthcare insurance and medical terminology
• Experience working with Medicare, Medicaid, and third-party vendors, with prior direct customer service experience in the medical field
• Epic experience, with a strong understanding of electronic health records and healthcare technology

Skills and Competencies:

To excel in this role, you will need to possess:

• Strong analytical and problem-solving skills, with attention to detail and ability to work independently
• Excellent communication and customer service skills, with the ability to interact with patients, healthcare professionals, and insurance carriers
• Strong computer skills, with experience working in Microsoft Office and electronic health records
• Ability to work in a fast-paced environment, with a strong sense of urgency and attention to detail

Career Growth Opportunities and Learning Benefits:

At CVS Health, we are committed to the growth and development of our team members. As a Benefits Verification Representative, you will have access to:

• Comprehensive training programs, with ongoing education and development opportunities
• Career advancement opportunities, with a clear path for professional growth and development
• A supportive and collaborative work environment, with a team of experienced professionals who are passionate about delivering exceptional patient care

Work Environment and Company Culture:

Our company culture is built on a foundation of heart, with a strong emphasis on empathy, compassion, and kindness. As a remote worker, you will be part of a dynamic and fast-paced team, with a schedule that includes:

• Monday - Friday, with hours between 7:30am-6pm CST
• Mandatory overtime/extended work week when needed, as well as regular and predictable attendance
• On-call scheduling based on departmental need, with preference given to later shift availability

Compensation, Perks, and Benefits:

We offer a competitive salary range of $17.00 - $28.46 per hour, with a comprehensive benefits package that includes:

• Medical, dental, and vision benefits, with eligibility to enroll in our 401(k) retirement savings plan
• Employee Stock Purchase Plan, with fully-paid term life insurance and short-term and long-term disability benefits
• Well-being programs, education assistance, and free development courses, with a CVS store discount and discount programs with participating partners
• Paid Time Off (PTO) or vacation pay, with paid holidays throughout the calendar year

Conclusion:

If you are a motivated and experienced healthcare professional looking for a challenging and rewarding role, we encourage you to apply for our Benefits Verification Representative position. With a competitive salary, comprehensive benefits package, and opportunities for career growth and development, this is an exceptional opportunity to join a leading healthcare organization and make a meaningful difference in the lives of our patients. Don't miss out on this exciting role – apply now and take the first step towards a fulfilling and rewarding career with CVS Health!