If you like the “detective work” side of healthcare admin, this one’s solid: verify coverage, chase down authorizations, fix problems fast, and keep referrals moving so patients aren’t stuck waiting.
About CVS Health
CVS Health supports patients, members, and providers through pharmacy and health services designed to simplify care and improve access.
Schedule
- Full-time, 40 hours/week
- Monday–Friday, 9:00am–5:30pm EST
- Remote, posting is tied to North Carolina
What You’ll Do
- Verify insurance benefits (policy/group numbers, demographics, eligibility)
- Review plans to determine coverage limits and what’s covered
- Call payers to confirm eligibility, coverage, pre-auth requirements, and benefit details
- Explain the verification process and financial responsibility details to patients/members as needed
- Communicate authorization steps and coverage limitations to support clean billing/claims
- Investigate and resolve verification conflicts and missing info
- Coordinate closely with the pharmacy team to keep referrals moving
- Suggest process improvements (automation, workflow tweaks) to speed up verification work
What You Need
- 1+ year of specialty pharmacy experience (this is the real gatekeeper here)
- Strong attention to detail and follow-through
- Comfort juggling multiple systems and tasks at once
- High school diploma/GED
Preferred Qualifications
- Prior authorizations experience
- Strong multitasking + flexibility with shifting priorities
- Working knowledge of Microsoft Office
Benefits
- Pay range: $17.00 – $25.65/hour (offer varies)
- CVS benefits package (medical plans, 401(k), stock purchase plan, wellness programs, PTO, etc.)
Urgency
Application window listed to close 02/28/2026.
My straight take: this job can be chill if you’re organized and don’t mind repetitive payer calls, but it can also be annoying when you’re stuck in “phone tag” purgatory with insurance companies. If you’re the type who likes closing loops and getting clean confirmations, you’ll do well.
Happy Hunting,
~Two Chicks…