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.
- 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
- 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
Verifiable High School diploma or GED is required
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.
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