Senior Customer Service Rep

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryPerform lead role on initial benefits verification team. Including training, workqueue management, supporting staff in day to day duties, special projects, and other duties as required.What you will do:· Performs the verification of patients' insurance coverage and benefits to determine eligibility for healthcare services.· Communicates with insurance companies to gather information, clarify benefit details, and address any inquiries or concerns related to insurance coverage.· Maintains detailed and accurate records of insurance verification activities, including patient information, coverage details, and communication logs.· Coordinates with insurance companies, pharmacy benefit managers, and other relevant stakeholders to resolve any coverage issues or discrepancies.· Provides necessary documentation and supporting information to facilitate claims processing and maximize reimbursement.· Inspects and addresses claim rejections, denials, or other billing-related issues to ensure proper payment for services rendered.· Provides updates on healthcare regulations, insurance guidelines, and industry trends related to benefit verification and insurance coverage.· Provides constructive feedback and coaching to ensure accuracy, compliance with guidelines, and adherence to quality standards.· Serves as a point of contact for complex or sensitive issues related to benefits verification.Required Qualifications· 2-5 years work experiencePreferred Qualifications2-5 years experience with benefits verificationEducationHigh School DiplomaPay RangeThe typical pay range for this role is:$18.50 - $35.29This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefitsWe anticipate the application window for this opening will close on: 10/26/2024Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.