Benefits Verification Representative

CVS Health - Monroeville, PA3.5

Full-time
CVS Health has several exciting opportunities for Benefits Verification/Medical Insurance Representatives in our Monroeville, PA Specialty Pharmacy location.

The primary responsibilities are to verify insurance coverage for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service 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.

We are seeking employees who have experience working with payers/insurance companies to secure coverage and benefits for specialty therapies. Knowledge of Medicare, Medicaid, and third party vendors plus. Qualified candidates will also need to portray strong attention to detail and proven analytic and problem solving skills.

Required Qualifications
6+ months of experience with medical insurance, benefits verification, medical billing or a related field.
1+ years of experience in a Windows based computer utilizing Microsoft Office

Preferred Qualifications
Pharmacy, PBM or Specialty pharmacy experience
Knowledge of government and patient assistance programs
Excellent customer service skills
Attention to detail
Analytical and problem solving skills
Experience working with medical billing procedure
Previous experience working with Prior Authorizations
Knowledge of Medicare, Medicaid, and third party vendors.

Education
Verifiable High School diploma or GED is required

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.