Patient Care Representative Position Available In Montgomery, Alabama

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues

• caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
• Position Summary
• ••This is a remote role, guarantee of 32-40 hours/week••.

Join the Coram/CVS Health team as a Rep I, Patient Care representative on the Authorization and Prescription team and you will support the Enteral Nutrition Center by requesting and maintaining timely follow up on authorizations needed for successful reimbursement of claims. Partner with our billing centers to ensure that patient accounts are updated, and all information is on file to be able to process the claim. This is not a medical billing position. Hours for this position will be 8:00am

• 4:30pm CST.As a Rep I, Patient Care rep on the prior authorization team, some of your key responsibilities will be to…
• Maintain insurance authorizations and billing prescriptions for new and current patients
• Work closely with various staff to collect additional information needed to process authorization requests and submit claims
• Follow-up on outstanding Certificates of Medical Necessity (CMN), Letters of Medical Necessity (LMN), prescriptions, authorizations and other missing medical documentation to ensure that a patient’s account does not go into a suspended status
• Update insurance providers when a change to a patient account has occurred and work with the insurance company to obtain new authorizations for service
• Communicate with patients, physicians, and insurance companies to update them on status, orders, and missing documentation.
• Required Qualifications
• Data entry experience Excellent written and verbal customer service skills Strong mathematical skills Working knowledge of Microsoft Office programs, specifically Excel, Outlook and Word.
• Preferred Qualifications
• Experience working in a healthcare environment Experience working with health insurance companies Prior Home infusion or durable medical equipment (DME) experience
• Education
• High School diploma or GED
• Anticipated Weekly Hours
• 40•Time Type•Full time•Pay Range•The typical pay range for this role is:$17.

00

• $25.

65This 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 our comprehensive and competitive mix of pay and benefits
• investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
• Affordable medical plan options,
• a •401(k) plan•(including matching company contributions), and an •employee stock purchase plan•No-cost programs for all colleagues•including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching•Benefit solutions that address the different needs and preferences of our colleagues•including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 06/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.