Benefits Verification Representative - Work From Home Hawaii

Benefits Verification Representative

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. CVS Health is offering a unique opportunity to be part of an extremely talented team within CVS Specialty as a Benefits Verification Representative. This position will require you to demonstrate strong attention to detail, utilize problem solving skills, and be a highly focused, performance-driven individual with a background in pharmacy or the healthcare field. You will need to have 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. Are you ready to take the next step in furthering your career? In order to be successful in this role you must be able to verify insurance coverage for both new and existing patients and process patient prescription orders in a timely manner. You'll have to demonstrate excellent customer service to patients, healthcare professionals and insurance carriers. This is a full time position. We're open Monday thru Friday from 8am-6pm and you must be willing to work 40 hours within this schedule. No weekends, limited holidays and covered parking on-site. 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.

Our application process is 2 simple steps. Apply online and take your time while completing our Virtual Job Tryout (VJT).

Required Qualifications :

• 6 + months of experience with medical insurance, benefits verification, medical billing or a patient / healthcare customer service.

Preferred Qualifications :

Bachelor's Degree in Communications or Healthcare related field. Pharmacy experience (PBM, Specialty, etc). Previous experience working with Prior Authorizations. Knowledge of Medicare, Medicaid, and third party vendors. Healthcare related certifications and / or licensure.

Education :

Verifiable High School diploma or GED is required.

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $17.00 - $34.15. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people. We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits.

We anticipate the application window for this opening will close on : 11 / 12 / 2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.