Benefits Verification Representative - Work from Home Opportunity with CVS Health/Specialty in Buffalo Grove, IL
Unlock a Rewarding Career with CVS Health/Specialty: Join Our Team as a Benefits Verification Representative At CVS Health/Specialty, we're dedicated to delivering exceptional patient experiences and making a meaningful difference in the lives of those we serve. As a leader in the healthcare industry, we're committed to fostering a culture of innovation, compassion, and teamwork. If you're passionate about providing outstanding customer service and have a strong background in healthcare, we invite you to explore an exciting opportunity to join our Benefits Verification team as a Benefits Verification Representative.
About the Role
As a Benefits Verification Representative, you'll play a critical role in ensuring the seamless delivery of patient prescription orders by efficiently resolving insurance-related issues. This primarily work-from-home position requires a strong and diverse skillset, including excellent communication skills, attention to detail, and the ability to navigate multiple systems and portals. You'll serve as a vital liaison between patients, healthcare professionals, and insurance carriers, utilizing your healthcare industry expertise to drive success.
Key Responsibilities
- Act as a liaison between patients, healthcare professionals, and insurance carriers to resolve insurance-related issues.
- Utilize healthcare industry expertise to efficiently solve insurance-related issues and process patient prescription orders for on-time delivery.
- Handle inbound and outbound calls related to patient benefits and insurance, providing exceptional customer service and support.
- Work in multiple systems and portals to manage patient information and insurance details, ensuring accuracy and attention to detail.
- Embody CVS Health/Specialty's heart at work behaviors, putting people first and delivering personalized patient experiences.
Essential Qualifications
To succeed in this role, you'll need:
- 1+ year of experience in a healthcare environment, with experience in medical insurance, benefits verification, or medical billing.
- 1+ year of experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word).
- 1+ year of computer keyboarding experience and skills.
- A direct/hardwired internet connection to a modem/router within 10 feet of the computer with a minimum download speed of 25 mbs and upload speed of 3 mbs.
- Residency within 75 miles of Buffalo Grove, IL, as you'll be required to attend a 4-week new hire training onsite.
Preferred Qualifications
While not required, the following skills and experience will give you a competitive edge:
- Pharmacy or Healthcare Benefits experience.
- Previous experience working with Prior Authorizations.
- Experience with various insurance plans (PPO, HMO, EPO, POS, Medicare, Medicaid).
- Experience reading and understanding medical policy information.
- Experience receiving inbound calls and making outbound calls to explain insurance benefits.
- Knowledge of using Avaya-One X, Availity, Change HealthCare, and/or CoverMyMeds.
What We Offer
At CVS Health/Specialty, we offer a comprehensive benefits package that includes:
- Medical, dental, and vision insurance.
- 401(k) retirement savings plan.
- Employee Stock Purchase Plan.
- Fully-paid term life insurance.
- Short-term and long-term disability benefits.
- Well-being programs.
- Education assistance.
- Free development courses.
- CVS store discount.
- Paid Time Off (PTO).
- Paid holidays.
Career Growth Opportunities
As a Benefits Verification Representative, you'll have the opportunity to develop your skills and advance your career within CVS Health/Specialty. Our company is committed to fostering a culture of continuous learning and growth, providing you with the tools and resources you need to succeed.
Work Environment and Company Culture
We pride ourselves on creating a work environment that's inclusive, supportive, and flexible. As a remote worker, you'll enjoy the benefits of working from home while still being connected to our team and culture. Our company values diversity and promotes a culture of respect, empathy, and compassion. Compensation and Perks The starting hourly rate for this role is $18.38/hr, with opportunities for overtime during business peaks. We offer a competitive salary and benefits package that reflects our commitment to rewarding our employees for their hard work and dedication. Why Join Our Team? If you're passionate about delivering exceptional customer service and making a meaningful difference in the