Benefits Verification Representative - Buffalo Grove, IL - Remote
About the position
CVS Health/Specialty is offering an exciting opportunity to be part of our Benefits Verification team. This is primarily a WORK FROM HOME position. However, candidates must live within a 75-mile commutable distance from Buffalo Grove, IL, because this person will be required to come onsite for a 4-week new hire training. Training in-person allows our new team members to familiarize themselves with members of training, support, leadership, and their new peers to ensure a successful and team-focused onboarding experience. As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals, and insurance carriers. You will utilize your skills and healthcare industry expertise to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery. In this role, you will work in multiple systems and portals, and handle inbound patient and internal colleague calls, as well as make outbound calls on a daily basis. Successful candidates in this role will embody our heart at work behaviors and possess excellent computer navigation skills, interpersonal skills to put people first and deliver personalized patient experiences, strong attention to detail, a solution-oriented mindset removing obstacles to make experiences easier, and a goal-driven work ethic. This position is full-time and offers overtime during our business peaks. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays. On Site Training is Monday through Fridays 8:00am - 4:30 p.m. CST for 4 weeks. We are seeking individuals to commit to a 40-hour work week. We are offering shifts all seven days of the week, with start times ranging from 8:00am - 11:30am CST. Our application process is 2 simple steps: Apply online and take your time while completing our Virtual Job Tryout (VJT). This position pays based on experience and the starting hourly rate for this role is $18.38/hr.
Responsibilities
Act as a liaison between patients, healthcare professionals, and insurance carriers.
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Utilize healthcare industry expertise to solve insurance-related issues.
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Process patient prescription orders for on-time delivery.
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Handle inbound and outbound calls related to patient benefits and insurance.
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Work in multiple systems and portals to manage patient information and insurance details.
Requirements
Must live within 75 miles of Buffalo Grove, IL.
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1+ years of experience in a healthcare environment, with experience in medical insurance, benefits verification, or medical billing.
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1+ years of experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word).
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1+ years of computer keyboarding experience and skills.
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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.
Nice-to-haves
Pharmacy or Healthcare Benefits experience.
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Previous experience working with Prior Authorizations.
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Experience with various insurance plans (PPO, HMO, EPO, POS, Medicare, Medicaid).
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Experience reading and understanding medical policy information.
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Experience receiving inbound calls and making outbound calls to explain insurance benefits.
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Knowledge of using Avaya-One X, Availity, Change HealthCare, and/or CoverMyMeds.
Benefits
Medical insurance
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Dental insurance
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Vision insurance
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401(k) retirement savings plan
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Employee Stock Purchase Plan
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Fully-paid term life insurance
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Short-term and long-term disability benefits
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Well-being programs
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Education assistance
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Free development courses
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CVS store discount
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Paid Time Off (PTO)
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Paid holidays
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