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 Summary
This is an Intake position and is a client-facing role, meaning you will support a specific, external client. Intake plays an integral role in delivering cost effective solutions for our patients by working with new patient referrals from an external client; verifying patient health insurance benefits, obtaining initial and subsequent authorization for services if required, loading patient benefit information into client system, calculate pricing and run test claims, and timely communication of benefit information to external client. Important to this position are strong organizational , time management , and critical thinking skills, with the ability to work independently. Ability to meet deadlines, manage future dates for follow up action (e.g. reauthorizations); ability to manage and track forms and other documentation needed by payer and/or requiring physician signature.To be successful in this role you will utilize home infusion software, payer portals and other systems and your critical thinking skills to ensure a high quality of work. Strong verbal, interpersonal, and written communication skills, to effectively communicate with payer staff and external client personnel via telephone and email. Professional and clear documentation of work product entered in client system.Key functions include: Obtain/Verify Benefits: Verifies insurance benefits for commercial and governmental payors
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- Obtain required documentation in compliance with governmental and commercial payors requirements to ensure reimbursement of services provided to patients
- Load patient benefit information into client system, calculate pricing, run test claims, and communicate benefit information to external client
- Obtain required documentation in compliance with governmental and commercial payors requirements to ensure reimbursement of services provided to patients
- Review physician orders, track and obtain physician signatures on required documents and forms to ensure accuracy and compliance in patient and insurance billing
- 1+ years of work experience in revenue cycle operations (eg: billing, collections, credits, cash etc)
- 1+ years of experience in a professional environment
- 1+ years of experience using the Microsoft Office Suite, specifically Word, Outlook, and Excel
- 1+ years of experience using Windows based system
- 1+ years of experience in healthcarePreferred Qualifications
- Home infusion or durable medical equipment (DME) experience
- Strong attention to detail with a sense of urgency; customer service skills
- Ability to work in a team environment
- Ability to effectively communicate both orally and in writing with external clients
Verifiable High School Diploma or GED is required.Pay Range
The typical pay range for this role is:$17.00 - $34.15This 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 Benefits | CVS HealthWe anticipate the application window for this opening will close on: 02/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.