Job description

Requirements

  • Entry level
  • No Education
  • Salary to negotiate
  • Monroeville

Description

Job Description
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
It’s a new day in health care.


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

About the company

Millions of times a day, close to home and across the country, we’re helping people on their path to better health.

We’re reinventing pharmacy to have a more active, supportive role in each person’s unique health experience and in the greater health care environment—from advising on prescriptions to helping manage chronic and specialty conditions to providing quality walk-in medical care and pharmacy benefits management.

Because we’re present in so many moments, in ways that are more affordable and effective, we’re able to positively influence health behavior and shape the future of health care for people, businesses and communities.

Health is everything.

Through our more than 9,600 retail pharmacies, over 1,100 walk-in medical clinics, 75 million pharmacy benefit manager plan members, and expanding specialty pharmacy services, we enable people, businesses and communities to manage health in more affordable, effective ways. This unique integrated model increases access to quality care, delivers better health outcomes, and lowers overall health care costs. We leverage our unique combination to help payors control costs, improve patient access, and promote better health outcomes in a way that no other company can.

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