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Benefits Verification Specialist- Work from home

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CVS Health

15d ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Atlanta

AI generated summary

  • You need 1 year in customer service, data entry skills, knowledge of Outlook/Word, and experience with home infusion/DME and insurance benefits verification. High School Diploma/GED required.
  • You will verify insurance benefits, document reviews, coordinate with intake teams, communicate with medical and insurance personnel, enter data in ACIS, and assist peers as needed.

Requirements

  • Minimum 1 year experience working in a customer service or call center environment.
  • Data entry experience.
  • Working knowledge in Microsoft Office, specifically Outlook and Word.
  • Home infusion or durable medical equipment (DME) experience.
  • Experience work in a healthcare environment.
  • Experience verifying benefits with insurance companies.
  • Experience working with healthcare ins.
  • Verifiable High School Diploma or GED is required.

Responsibilities

  • Complete and document benefit verification review
  • Provides information on Enteral home infusion services.
  • Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
  • Coordinate with the Patient Intake Coordinators for new and existing accounts.
  • Investigate type and level of insurance coverage to assess patient eligibility for the program.
  • Communicate with medical professionals and insurance company personnel.
  • Complete data enter in ACIS to ensure accuracy of reporting and outcomes.
  • Provide input on self reviews
  • Assist less experienced peers
  • Perform other duties & responsibilities that are reasonable as assigned by your leaders

FAQs

Do we support remote work?

Yes, this position is a work-from-home opportunity.

What are the main responsibilities of a Benefits Verification Specialist?

The main responsibilities include verifying insurance coverage, obtaining prior authorization information, completing benefit verification reviews, communicating with medical professionals and insurance personnel, and documenting data accurately.

What qualifications are required for this position?

A verifiable High School Diploma or GED is required, along with a minimum of 1 year experience in a customer service or call center environment, data entry experience, and working knowledge of Microsoft Office, specifically Outlook and Word.

Is experience in healthcare preferred for this role?

Yes, experience in a healthcare environment, especially with home infusion or durable medical equipment (DME), is preferred.

What type of benefits does CVS Health offer to its employees?

CVS Health offers a comprehensive mix of benefits, including affordable medical plan options, a 401(k) with company matching, an employee stock purchase plan, no-cost wellness programs, paid time off, and tuition assistance, among others.

What is the pay range for the Benefits Verification Specialist position?

The pay range for this role is $17.00 - $31.30 per hour, depending on various factors such as experience and geography.

Are there opportunities for advancement within the company?

Yes, CVS Health values its employees and promotes growth and advancement opportunities within the organization.

How many hours per week does this position require?

This position requires a commitment of 40 hours per week.

What does the training process look like for new hires?

The training process typically includes comprehensive onboarding and support to ensure new hires are fully equipped to succeed in their roles.

Is there a specific application deadline for this job opening?

Yes, the application window for this position will close on 01/30/2026.

Bringing our heart to every moment of your health.

Science & Healthcare
Industry
10,001+
Employees
1963
Founded Year

Mission & Purpose

CVS Health is a healthcare innovation company that operates retail pharmacies, manages pharmacy benefits, and provides health services through its MinuteClinic and HealthHUB locations. Their ultimate aim is to improve the quality of life for communities by making healthcare more accessible and affordable. CVS Health focuses on driving healthier outcomes and reducing healthcare costs, using its comprehensive range of services and products to support individuals on their health journey.