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Benefits Verification Representative - Specialty Pharmacy

at CVS Health

Posted: 10/10/2019
Job Reference #: 1100081BR
Keywords: medical

Job Description

Job Description
CVS Health is offering a unique opportunity to be part of an extremely talented team within CVS Specialty Pharmacy as a Benefits Verification Representative. The ideal candidate for this position is a detail oriented, highly focused, performance-driven individual with a background in pharmacy or the medical field and ready to take their career a step further.

As a Benefits Verification Representative, you will be primarily responsible for verifying insurance coverage for new and existing patients in order to process prescription orders in a timely manner while demonstrating excellent customer
service to patients, healthcare professionals, insurance carriers, and colleagues. This process also involves
additional efforts to ensure patient has access to the specialty therapy prescribed, such as obtaining coverage
determinations for prescribed specialty products, initiating prior authorization requests, supporting prescribers with
appeals processing, gathering and interpretation of supporting clinical documentation for approvals, and enrolling
eligible patients in financial assistance programs sponsored by manufacturers, foundations, and other community and
financial resources.

This role will require an understanding of specialty drug products, medical terminology, insurance coverage concepts, policies, and guidelines for drug cards, major medical benefits, per-diem coverage, as well as knowledge of government and patient assistance programs.

This is a full time position M-F, no weekends or holidays, offering full benefits, in addition to covered parking on site.

Required Qualifications
* 1+ years of Microsoft Office experience
* 3+ months of customer service experience

Preferred Qualifications
* Healthcare related experience, certifications and/or licensure
* Strong written, interpersonal, and oral communication skills
* Strong customer service skills exhibiting a courteous telephone etiquette, patience, and professionalism
* Ability to provide empathetic services to our customers
* Demonstrable responsiveness and reliability as attendance is an essential function of the position
* Team-oriented and the ability to work with others
* Self-directed and the ability to problem solve
* Ability to apply knowledge and skills learned in training
* A Bachelor's Degree

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!