[Remote] Benefits Verification Specialist- Work from home at CVS Health

Georgia, Vermont, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Minimum 1 year experience working in a customer service or call center environment
Data entry experience
Working knowledge in Microsoft Office, specifically Outlook and Word
Verifiable High School Diploma or GED

Responsibilities

Complete and document benefit verification review
Provide information on Enteral home infusion services
Comply with and adhere to all regulatory compliance areas, policies, procedures, and "best practices."
Coordinate with the Patient Intake Coordinators for new and existing accounts
Investigate type and level of insurance coverage to assess patient eligibility for the program
Communicate with medical professionals and insurance company personnel
Complete data entry in ACIS to ensure accuracy of reporting and outcomes
Provide input on self reviews
Assist less experienced peers
Perform other duties & responsibilities that are reasonable as assigned by leaders

Skills

Key technologies and capabilities for this role

Benefit VerificationInsurance VerificationPrior AuthorizationPharmacy BenefitsMajor Medical BenefitsPer Diem CoverageGovernment ProgramsPatient Assistance ProgramsEnteral TherapyHome InfusionRegulatory ComplianceCustomer Service

Questions & Answers

Common questions about this position

What is the pay range for the Benefits Verification Specialist role?

The typical pay range for this role is $17.00 - $31.30 per hour.

Is this position remote or work from home?

Yes, this is a work from home position as indicated by the job title.

What are the required qualifications for this role?

Minimum 1 year experience in customer service or call center environment, data entry experience, and working knowledge in Microsoft Office (Outlook and Word) are required. A verifiable High School Diploma or GED is also required.

What are the anticipated hours for this position?

This is a full-time position with anticipated weekly hours of 40.

What experience makes a strong candidate for this role?

Preferred experience includes home infusion or durable medical equipment (DME), working in a healthcare environment, verifying benefits with insurance companies, and working with healthcare insurance.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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