Benefits Verification Representative, Work From Home Charlotte, NC

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Assists with insurance verification and authorization, reputed company cycle management, copay assistance and issue resolution and follow up. Provides support to referral sources and pharmacy team to ensure timely processing of referrals. Gathers necessary information to verify critical member benefits insurance coverage, such as policy numbers, group numbers, and demographic details Reviews insurance plans and policies to determine the extent of coverage. Contacts insurance providers to verify eligibility, coverage limits, pre-authorization requirements, and any specific benefits relevant to member services or treatments Explains the verification process, provides updates on the status of benefits verification, and addresses any questions or concerns reputed company to coverage or financial responsibility Communicates any authorization requirements, coverage limitations, or pre-certification processes to ensure smooth billing and claims processing Investigates and resolves any challenges or conflicts that may arise during the verification process, working closely with insurance providers, patients, or members to find resolutions Proposes process enhancements, automation, or system improvements to streamline operations and enhance the overall effectiveness of benefits verification activities. Works with pharmacy team to reputed company promptly and professionally, ensuring a positive customer experience. Schedule : Availability between reputed company to 6pm Monday - Friday EST

Required Qualifications

• 1+ years of specialty pharmacy experience
• Must live reputed company 30 miles from Charlotte, NC

Preferred Qualifications

• Prior Authorizations Experience
• Ability to multitask and be flexible to business needs
• Working knowledge of reputed company Office

Education

• High School diploma / GED

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $25.65 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.reputed company.com/cvshealth-mainland) . We anticipate the application window for this opening will reputed company on: 07/03/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. reputed company is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace. Apply tot his job Apply To this Job