Remotely WFH Jobs Benefits Verification Representative

Benefits Verification Representative

  • Anywhere

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

Coram/CVS Health is looking for a high-energy healthcare professional to join our national team as a Benefit Verification Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV therapy for Coram’s patients. We believe that Benefit Verification Specialists are a key part of creating a positive experience for our patients.

In this dynamic and fast-paced role, you will be responsible to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service directly to patients, healthcare professionals and insurance carriers.

This role will require 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.

The schedule for this position is from Monday-Friday with hours between 10am-8pm CST. Colleague will be required to work mandatory overtime/extended work week when needed, as well as regular and predictable attendance. This role may require on-call scheduling based on departmental need. Preference will be given for later shift availability. This is a Work At Home role, which requires access to an appropriate work space that will ensure HIPPA compliance, privacy and consistent internet strength and availability.

Required Qualifications
• Analytical and problem-solving skills
• Attention to detail
• Ability to work independently
• Experience working in Microsoft Office, specifically Excel, Outlook and Word
• Strong computer skills

Preferred Qualifications
• Minimum one year experience working in a healthcare environment
• Experience working with health care insurance and medical terminology.
• Knowledge of Medicare, Medicaid, and third-party vendors
• Prior direct customer service experience (medical field preferred)
• Knowledge of Avaya phone system and Instamed payment system
• Epic experience

Pay Range

The typical pay range for this role is:

$17.00 – $27.90

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.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health colleagues can initiate a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through myHR (1-888-694-7287, or through myLeave at myHR). If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Pay Range

The typical pay range for this role is:

$17.00 – $25.65

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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 11/30/2024

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