Benefits Verification Representative - Work From Home Hawaii

CVS Health Corporation; United States; Remote; USD 23,000 - 47,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Benefits Verification Representative to verify insurance coverage for patients and process prescriptions, delivering excellent customer service to patients and providers.

The role requires attention to detail, problem solving, and knowledge of insurance concepts, with full-time hours and a Monday–Friday schedule. Competitive benefits are provided.

Qualifications

• 6+ months of experience with medical insurance, benefits verification, medical billing or a patient/healthcare customer service.
• Knowledge of government and patient assistance programs is a plus.
• Experience with insurance carriers and drug cards is preferred.

Responsibilities

• Verify insurance coverage for new and existing patients.
• Process patient prescription orders in a timely manner.
• Provide excellent customer service to patients, healthcare professionals and insurance carriers.

Skills

Medical insurance experience

Benefits verification

Customer service

Education

High School diploma or GED

Bachelor's Degree in Communications or Healthcare

Tools

Prior authorizations

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable 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

CVS Health is offering a unique opportunity to be part of an extremely talented team within CVS Specialty as a Benefits Verification Representative. This position will require you to demonstrate strong attention to detail, utilize problem solving skills, and be a highly focused, performance-driven individual with a background in pharmacy or the healthcare field. You will need to have 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. Are you ready to take the next step in furthering your career?

In order to be successful in this role you must be able to verify insurance coverage for both new and existing patients and process patient prescription orders in a timely manner. You'll have to demonstrate excellent customer service to patients, healthcare professionals and insurance carriers.

This is a full time position. We're open Monday thru Friday from 8am-6pm and you must be willing to work 40 hours within this schedule. No weekends, limited holidays and covered parking on-site.

We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays.

Required Qualifications

• - 6 + months of experience with medical insurance, benefits verification, medical billing or a patient/ healthcare customer service.

Preferred Qualifications

• Bachelor's Degree in Communications or Healthcare related field.
• - Pharmacy experience (PBM, Specialty, etc).
• - Previous experience working with Prior Authorizations.
• - Knowledge of Medicare, Medicaid, and third party vendors.
• - Healthcare related certifications and/or licensure.

Education

• - Verifiable High School diploma or GED is required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $34.15

This 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.

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 families. The benefits for this position include medical, dental, and vision 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.

We anticipate the application window for this opening will close on: 10/08/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.