Site of Care Support Representative

Job not on LinkedIn

18 hours ago

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Logo of CVS Health

CVS Health

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

• Responsible for reviewing and coordinating in-bound Site of Care referrals for infusion patients • Support the Site of Care department by processing incoming referrals received from the precertification department • Communicate with and support internal and external partners • Review insurance benefits (both medical and pharmacy) • Claim history review • Maintain complete, timely, and accurate documentation of all referral requests in CRM • Handle precertification vendor changes • Communicate with physicians’ offices • Assist with escalating issues to clinical and leadership team(s) as needed

🎯 Requirements

• Excellent verbal and written communication and interpersonal skills • Ability to maintain patient confidentiality • Demonstrated sense of urgency with assignments • Ability to maintain confidentiality of information • Proficient computer skills and the ability to navigate in a Windows based environment • Ability to follow directions, as well as multi-task • Ability to quickly learn new computer applications • Seeks ways to collaborate and reach consensus with peers • Actively works to build strong working relationships • Able to customize messages and delivery to broader audiences • Demonstrated problem-solving ability and attention to detail • Proficient in Microsoft Excel and Outlook • Self motivated • Proven organizational and time management skills • High accuracy and attention to detail

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access • Many other benefits depending on eligibility

Apply Now

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