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DescriptionCVS Health has several exciting opportunities for Benefits Verification/Medical Insurance Representatives in our Summerlin, NV, Specialty Pharmacy location. The primary responsibilities are to verify insurance coverage for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. This role will require an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs. We are seeking employees who have experience working with payers/insurance companies to secure coverage and benefits for specialty therapies. Knowledge of Medicare, Medicaid, and third party vendors plus. Qualified candidates will also need to portray strong attention to detail and proven analytic and problem solving skills.Qualifications6+ months of experience with medical insurance, benefits verification, medical billing or a related field. 1+ years of experience in a Windows based computer utilizing Microsoft OfficeSuccessful completion of background and drug screenAt the end of the application, you will be automatically redirected to the Virtual Job Try Out, which is a required step in order for your application to be considered complete. Be sure you give yourself plenty of time, as this is a very important part of the application process! On average, the Virtual Job Tryout takes 30 - 45 minutes to complete.The Virtual Job Tryout must be completed on a desktop or laptop. Your PC will need speakers or headphones to hear instructions. The Virtual Job Tryout works best when using Google Chrome or Mozilla Firefox browser.If you experience technical issues during the virtual job try out please contact the help-desk at: 1-888-268-2989 M-F 8:00 a.m.- 8:00 p.m. ETPharmacy, PBM or Specialty pharmacy experienceKnowledge of government and patient assistance programs Excellent customer service skillsAttention to detailAnalytical and problem solving skills Experience working with medical billing procedure Previous experience working with Prior Authorizations Knowledge of Medicare, Medicaid, and third party vendorVerifiable High School diploma or GED is requiredClick Here to Apply!
