Prescription Insurance Verification Representative - Bad Debt Recovery

Job Description
CVS Health is offering an exciting opportunity to be part of our Benefits Verification team in Mount Prospect, IL. This is a WORK FROM HOME position eligible to qualified candidates located anywhere in the State of Illinois.

As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will verify insurance coverage in order to process patient prescription orders in a timely manner. Successful candidates in this role will possess an empathetic telephone presence, strong attention to detail, problem solving skills, and a goal driven work ethic. This position is 40 hours 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.

We are seeking individuals open to working 40 hours a week, from Monday through Friday, anytime between 7:30am - 7:30pm. You must be flexible working an early or late shift. However, a shift will be given to you and you will not be expected to rotate shifts daily.

Our application process is 2 simple steps.
- Apply online
- Take your time while completing our Virtual Job Tryout (VJT).

Required Qualifications
- 1+ years experience in healthcare environment, with direct experience interpreting health insurance coverage and acting as a liaison relaying the coverage approvals and denials.
- Proficient work experience with Microsoft Office, internet navigation, and email applications.

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- Pharmacy experience.
- Previous experience working with Prior Authorizations.
- Knowledge of Medicare, Medicaid, and third party vendor.
- Previous experience identifying and resolving Dad Debt.

Education
- High School diploma or equivalent.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.