CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

Benefits Verification Representative - CVS Health | Hawaii Remote

CVS Health is hiring a Benefits Verification Representative to confirm insurance coverage and process prescriptions for CVS Specialty. This full-time remote role provides healthcare customer service from Hawaii.

Description

  • Confirm insurance coverage for new and existing patients
  • Process prescription orders accurately and promptly
  • Support patients, healthcare professionals, and insurance carriers with customer service
  • Work Monday through Friday within an 8 a.m. to 6 p.m. schedule
  • Complete the Virtual Job Tryout (VJT) during the application process

Requirements

  • At least six months of experience in medical insurance, benefits verification, medical billing, or patient or healthcare customer service
  • Verifiable high school diploma or GED
  • Strong attention to detail
  • Problem-solving ability
  • Background in pharmacy or healthcare
  • Understanding of insurance carriers and concepts such as drug cards, major medical benefits, and per diem coverage
  • Knowledge of government and patient assistance programs
  • Availability to work 40 hours Monday through Friday within 8 a.m. to 6 p.m.
  • Willingness to complete the Virtual Job Tryout (VJT)
  • Bachelor's degree in communications or a healthcare-related field preferred
  • Pharmacy experience preferred
  • Prior authorization experience preferred
  • Knowledge of Medicare, Medicaid, and third-party vendors preferred
  • Healthcare-related certifications or licensure preferred

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Supplemental benefits and discount programs
  • Sixteen paid days off
  • Ten paid holidays
  • On-site parking covered
  • Retirement savings options
  • Wellness programs
  • Additional resources supporting physical, emotional, and financial well-being

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