CVS Health · 15 hours ago
Benefits Verification Representative
United States
Full-time
Remote
Entry Level
$17/hr - $25.65/hr
1+ years expCVS Health is dedicated to creating a more connected and compassionate health experience. The Benefits Verification Representative will assist with insurance verification, authorization, and revenue cycle management while ensuring timely processing of referrals and addressing any questions related to coverage.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Assists with insurance verification and authorization, revenue cycle management, copay assistance and issue resolution and follow up
Provides support to referral sources and pharmacy team to ensure timely processing of referrals
Gathers necessary information to verify critical member benefits insurance coverage, such as policy numbers, group numbers, and demographic details
Reviews insurance plans and policies to determine the extent of coverage
Contacts insurance providers to verify eligibility, coverage limits, pre-authorization requirements, and any specific benefits relevant to member services or treatments
Explains the verification process, provides updates on the status of benefits verification, and addresses any questions or concerns related to coverage or financial responsibility
Communicates any authorization requirements, coverage limitations, or pre-certification processes to ensure smooth billing and claims processing
Investigates and resolves any challenges or conflicts that may arise during the verification process, working closely with insurance providers, patients, or members to find resolutions
Proposes process enhancements, automation, or system improvements to streamline operations and enhance the overall effectiveness of benefits verification activities
Works with pharmacy team to provide promptly and professionally, ensuring a positive customer experience
Qualification
Required
1+ years of specialty pharmacy experience
High School diploma / GED
Preferred
Prior Authorizations Experience
Ability to multitask and be flexible to business needs
Working knowledge of Microsoft Office
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
2026-01-25
Company data provided by crunchbase