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Medical Insurance Representative

03/08/2019Call Center
Job Location:
Las Vegas, NV
Metro Area:
NV - Las Vegas
Company Name: CVS Health
Address:
1451 Center Crossing Rd
Las Vegas, NV
Website:  Click to Visit
CVS Health
Job Description
CVS 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.

Required Qualifications
6+ 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 Office

Successful completion of background and drug screen

At 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.

SYSTEM REQUIREMENTS
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. ET

Preferred Qualifications
Pharmacy, PBM or Specialty pharmacy experience
Knowledge of government and patient assistance programs
Excellent customer service skills
Attention to detail
Analytical and problem solving skills
Experience working with medical billing procedure
Previous experience working with Prior Authorizations
Knowledge of Medicare, Medicaid, and third party vendor

Education
Verifiable High School diploma or GED is required

Business Overview
It’s a new day in health care.


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our AdviceCounsel@cvshealth.com">Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com">cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.
 
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