Pharmacy Care Representative

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Conduct inbound or outbound phone calls to patients regarding complex Specialty medication orders, benefits verification, and new patient enrollment. • Coordinate and process requests for new and refill order shipments. • Collect appropriate information needed to ensure insurance coverage for patient medication orders. • Verify eligibility, prior authorization, and other reimbursement requirements prior to shipment. • Assist in enrolling and tracking new customer referrals. • Provide explanation of CVS/Specialty services to new customers. • Transfer/escalate clinical questions and issues to the staff pharmacist for resolution.

🎯 Requirements

• 1+ years of experience in a customer service role handling and resolving a high volume of complex customer needs over the phone • 1+ years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word) internet navigation, and email applications • 1+ years of computer keyboarding experience, skills and aptitude • Direct/hardwired internet connection to a modem/router within 7 feet of your computer • Minimum download speed of 25 mbs and 3 mbs upload • Secure and private home workspace free from distractions. • High School Diploma or equivalent work experience.

🏖️ Benefits

• Medical, dental, and vision insurance • Sixteen paid days off • Ten paid holidays • Comprehensive benefits package designed to support physical, emotional, and financial well‑being of colleagues and their families.

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