Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $17.00 - $28.46
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
Paid Time Off
retirement savings options
wellness programs
Paid holidays
Job Description
CVS Health is a leading health innovation company dedicated to creating a world of health around every individual. They focus on shaping a more connected, convenient, and compassionate health experience by integrating pharmacy services, health benefits, and consumer health products. Known for their passion-driven colleagues, CVS Health prioritizes safety, quality, and accountability in all operations, aiming to simplify healthcare access for individuals, families, and communities nationwide. As a highly respected entity in the healthcare industry, CVS Health offers a robust culture of diversity, inclusion, and continuous innovation, allowing employees to contribute meaningfully to improving health outcomes across the country.
The Pharmacy Care Representative role within CVS Health Specialty Pharmacy presents a unique and rewarding opportunity to serve customers as a trusted healthcare resource. This full-time, remote position (work-from-home) involves managing direct customer interactions related to specialty medication orders. Representatives are responsible for handling inquiries, solving complex problems, educating customers, and maintaining the company's high standards of service excellence. This role requires multitasking in a high-energy environment and engaging in diverse tasks such as enrolling new patients, verifying insurance coverage, performing benefit investigations, and processing refill and new medication orders. The position offers competitive hourly pay starting at $19.00, with payment commensurate with experience, as well as the potential for overtime during peak business periods.
New team members receive virtual comprehensive training designed to familiarize them with CVS Health’s services and foster a supportive team-oriented onboarding experience. The role’s responsibilities range from conducting inbound and outbound patient calls, coordinating shipments, collecting insurance information, verifying eligibility and reimbursement requirements, to escalating clinical questions to pharmacists when needed. The seamless integration of customer service and healthcare knowledge makes this position essential in providing specialty care patients with the assistance and guidance necessary for their treatment adherence.
This role requires candidates to live in Michigan and have a secure, distraction-free home workspace with a direct/hardwired internet connection. The technology requirements and detailed work processes reflect CVS Health’s commitment to operational excellence and customer satisfaction. A typical workweek is 40 hours, Monday through Friday, with training conducted during regular business hours through virtual live sessions. With a strong benefits package including medical, dental, vision insurance, paid time off, holidays, and more, the Pharmacy Care Representative position offers a well-rounded career path in healthcare customer service, rooted in CVS Health’s mission to improve patient experiences and outcomes across the specialty pharmacy landscape.
The Pharmacy Care Representative role within CVS Health Specialty Pharmacy presents a unique and rewarding opportunity to serve customers as a trusted healthcare resource. This full-time, remote position (work-from-home) involves managing direct customer interactions related to specialty medication orders. Representatives are responsible for handling inquiries, solving complex problems, educating customers, and maintaining the company's high standards of service excellence. This role requires multitasking in a high-energy environment and engaging in diverse tasks such as enrolling new patients, verifying insurance coverage, performing benefit investigations, and processing refill and new medication orders. The position offers competitive hourly pay starting at $19.00, with payment commensurate with experience, as well as the potential for overtime during peak business periods.
New team members receive virtual comprehensive training designed to familiarize them with CVS Health’s services and foster a supportive team-oriented onboarding experience. The role’s responsibilities range from conducting inbound and outbound patient calls, coordinating shipments, collecting insurance information, verifying eligibility and reimbursement requirements, to escalating clinical questions to pharmacists when needed. The seamless integration of customer service and healthcare knowledge makes this position essential in providing specialty care patients with the assistance and guidance necessary for their treatment adherence.
This role requires candidates to live in Michigan and have a secure, distraction-free home workspace with a direct/hardwired internet connection. The technology requirements and detailed work processes reflect CVS Health’s commitment to operational excellence and customer satisfaction. A typical workweek is 40 hours, Monday through Friday, with training conducted during regular business hours through virtual live sessions. With a strong benefits package including medical, dental, vision insurance, paid time off, holidays, and more, the Pharmacy Care Representative position offers a well-rounded career path in healthcare customer service, rooted in CVS Health’s mission to improve patient experiences and outcomes across the specialty pharmacy landscape.
Job Requirements
- One plus years of experience in a customer service role handling and resolving a high volume of complex customer needs over the phone
- One plus years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email applications
- One plus years of computer keyboarding experience, skills and aptitude
- Must have a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 100 mbs download and 10 mbs upload
- WiFi and satellite are not permitted
- A secure and private home workspace free from distractions is required
- Must live in Michigan
Job Qualifications
- One plus years of experience in a customer service role handling and resolving a high volume of complex customer needs over the phone
- One plus years of work experience with Windows-based applications like Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email applications
- One plus years of computer keyboarding experience, skills and aptitude
- Prior healthcare work experience and familiarity with benefits, insurance, prescriptions, medical terminology
- High school diploma or equivalent work experience
Job Duties
- 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
Job Criteria
Experience
No experience required
Job Location
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