CVS Health Benefits Verification Representative - Full Time 40 hours/week in Honolulu, Hawaii

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

• Bachelor's Degree

Education

• Verifiable High School diploma or GED is required

Business Overview

CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health at mailto:EEO_AA@CVSHealth.com

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/