Talent.com
Benefits Verification Representative

Benefits Verification Representative

CVS HealthMonroeville, PA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

CVS Health / Specialty is offering an exciting opportunity to be part of our Benefits Verification team. This is primarily a WORK FROM HOME position. However, candidates must live within a 75-mile commutable distance from Monroeville, PA because you may also be asked to come into the office for Training, IT / Technical issues, Performance Review / Evaluation, etc. Training allows our new team members to familiarize themselves with members of training, support, leadership, and their new peers to ensure a successful and team-focused onboarding experience.

As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will utilize your skills and healthcare industry expertise to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery. In this role, you will work in multiple systems and portals, and handle inbound patient and internal colleague calls, as well as make outbound calls on a daily basis. Successful candidates in this role will embody our heart at work behaviors and possess :

  • Excellent computer navigation skills.
  • Interpersonal skills to put people first and deliver personalized patient experiences.
  • Strong attention to detail.
  • A solution orientated mindset removing obstacles to make experiences easier and rising to the challenge to help our patients.
  • A goal-driven work ethic.

This position is full-time and offers overtime during our business peaks. 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.
  • Take your time while completing our Virtual Job Tryout (VJT)
  • Required Qualifications

  • Must live within 75 miles of Monroeville, PA.
  • 1+ years of experience in healthcare environment, with experience working with medical insurance, benefits verification, medical billing, or a related field.
  • 1+ years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word) internet navigation, and email applications.
  • 1+ years of computer keyboarding experience, skills and aptitude.
  • You must have a direct / hardwired internet connection to a modem / router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite are not permitted. A secure and private home workspace free from distractions is required.
  • Preferred Qualifications

  • Pharmacy or Healthcare Benefits experience.
  • Previous experience working with Prior Authorizations.
  • Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRA's) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
  • Experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to calculate estimated patient responsibility, taking into consideration pre-determination, referral, authorization, and contract terms.
  • Experience receiving inbound calls and making outbound calls to patients to explain insurance benefits related to health insurance, and / or discussing patient financial responsibilities.
  • Knowledge with using Avaya-One X, Availity, Change HealthCare and / or CoverMyMeds.
  • Education

  • High School Diploma or equivalent work experience.
  • Anticipated Weekly Hours

    40

    Time Type

    Full time

    Pay Range

    The typical pay range for this role is : $17.00 - $28.46. 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.

    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 :

    Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

    No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

    Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

    This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    serp_jobs.job_alerts.create_a_job

    Benefit Verification • Monroeville, PA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Benefits Verification Representative - Monroeville, PA

    Benefits Verification Representative - Monroeville, PA

    CVS HealthMonroeville, PA, US
    serp_jobs.job_card.full_time
    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 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Employee Benefits Consultant

    Employee Benefits Consultant

    Henderson Brothers Inc.Pittsburgh, PA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Group Benefits Consultant Department : Group Benefits Location : Pittsburgh, PA Responsibilities : Handling of mid-size employer accounts, Expand book of business, expand working knowledge of health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Insurance Business Development Representative

    Insurance Business Development Representative

    InsuranceJobs.comGreensburg, Pennsylvania, United States
    serp_jobs.job_card.full_time
    We are a growing company in an interesting and challenging segment of the insurance industry, and we are always looking for talented individuals to join our team. This is a summary and is intended t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Home Health RN $10,000 Bonus

    Home Health RN $10,000 Bonus

    AHN Healthcare@HomeAvonmore, Pennsylvania, US
    serp_jobs.job_card.full_time
    At AHN Healthcare@Home, we're expanding our exceptional care team.In partnership with Allegheny Health Network, we're a nationally recognized leader in home health and hospice care—and a consistent...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Focus Group

    Focus Group

    ReeledgeAcme, PA, US
    serp_jobs.job_card.full_time +1
    Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia. We are a gambling technology company launching a new service and looking...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Work From Home - Client Benefits Representative

    Work From Home - Client Benefits Representative

    AO Garcia AgencyPittsburgh, Pennsylvania, United States, 15201
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Are you ready to break free from the confines of the traditional 9-5 and unleash your full potential as a leader? Look no further! We’re seeking driven individuals who are passionate about helping ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    Benefits Consultant

    Benefits Consultant

    Interview HuntersPittsburgh, PA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the clien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Quick Earnings : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Quick Earnings : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberOhiopyle, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Execution Specialist

    Execution Specialist

    ReeledgeSeven Springs, PA, US
    serp_jobs.job_card.full_time
    Candidates for this work-from-home position must be 21 or older, have an SSN, own a.Pennsylvania, Michigan and West Virginia. We are a gambling technology company seeking talented and motivated indi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Flexible schedule - Earn at least $2425 by driving 168 trips with Uber

    Flexible schedule - Earn at least $2425 by driving 168 trips with Uber

    UberAcme, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Healthcare Customer Care Representative (#159244)

    Healthcare Customer Care Representative (#159244)

    A-Line Staffing SolutionsMonroeville, PA, US
    serp_jobs.job_card.full_time +1
    Customer Care Representative (Onsite) – Monroeville, PA Pay Rate : $19.Location : Monroeville, PA Start Date : October 17, 2025 About the Role Bring your heart to work at a fortune 500 healthcare comp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Tax Associate

    Tax Associate

    IntuitLigonier, PA, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.new
    Work From Home - Benefits Services Representative

    Work From Home - Benefits Services Representative

    Global Elite TexasGreensburg, Pennsylvania, United States, 15601
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    If you are looking for a fully remote position with the ability to travel, this is the perfect opportunity for you! Here, you can work 100% remotely and from anywhere in the world.On top of that, w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    Benefits Specialist

    Benefits Specialist

    Interview HuntersPittsburgh, PA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the clien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    Work From Home - Insurance Representative

    Work From Home - Insurance Representative

    AO Garcia AgencyPittsburgh, Pennsylvania, United States, 15201
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you passionate about making a positive impact on ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Remote AI Task Reviewer – Flexible Hours, No Experience Needed

    Remote AI Task Reviewer – Flexible Hours, No Experience Needed

    RLDGShelocta, Pennsylvania, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Join our distributed team as a Remote AI Task Reviewer and help improve AI systems by completing short, style online tasks. This is an easy-to-learn role with full training and ongoing support.No pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Flexible $ : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    Flexible $ : Earn At Least $2425 For Your First 168 Trips, Guaranteed.

    UberDonegal, PA, United States
    serp_jobs.job_card.full_time +1
    Earn at least $2425 driving with Uber when you complete your first 168 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Benefits Sales Representative

    Benefits Sales Representative

    DiFilippoPittsburgh, PA, US
    serp_jobs.job_card.full_time
    Crafting Brighter Futures for Businesses & Families across the US.At the forefront of specialized financial services, we help families safeguard their assets and promise a profound purpose : ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days