Benefits Verification Representative

We at CVS Health are looking for an experienced Benefits Verification Representative to join our team. As a Benefits Verification Representative, you will be responsible for verifying and authorizing prescription benefits in an accurate and timely manner, so that members can receive their medications. You will also coordinate with other departments, health plans, and third-party payers to ensure maximum coverage and payment.

 

 

The ideal candidate for this position will have excellent customer service skills, be able to effectively communicate and collaborate, and have a strong attention to detail. They must also have experience in the healthcare industry, working knowledge of health insurance policies and procedures, and a basic understanding of medical terminology.If you have the qualifications we are seeking and are interested in helping CVS Health provide quality care for members, then we would love to hear from you.

 

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Responsibilities of a Benefits Verification Representative:

  1. Verify and authorize prescription benefits for members in an accurate and timely manner.
  2. Coordinate with other departments, health plans, and third-party payers to ensure maximum coverage and payment.
  3. Provide excellent customer service and effectively communicate and collaborate with relevant parties.
  4. Exercise strong attention to detail.
  5. Demonstrate experience in the healthcare industry.
  6. Possess a working knowledge of health insurance policies and procedures.
  7. Demonstrate a basic understanding of medical terminology.
  8. Provide quality care for members.
Job Qualifications

  • Excellent Customer Service Skills

  • Organizational And Time Management Skills

  • Ability To Analyze And Interpret Data

  • Strong Interpersonal Skills And Ability To Work Independently

  • Knowledge Of Insurance And Benefit Plans

  • Familiarity With Computers And Other Office Equipment

  • Ability To Complete Tasks In A Timely And Accurate Manner

  • Ability To Use Discretion And Maintain Confidentiality

Required Skills

  • Documentation

  • Data Entry

  • Communication

  • Time Management

  • Verification

  • Analytical

  • Problem-Solving

  • Multi-tasking

  • Computer Literacy

  • Organizational

  • Interpersonal

  • Attention-To-Detail

  • Benefits

  • Credentialing

Soft Skills

  • Communication

  • Conflict Resolution

  • Leadership

  • Negotiation

  • Problem Solving

  • TeamworkAdaptability

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