Senior Coordinator, Enrollment Operations

Insurance Verification Specialist

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

A Brief Overview

Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.

What You Will Do

• Conducts comprehensive enrollment and insurance verification for patients or members, gathering the necessary information to confirm coverage, policy details, and eligibility.
• Analyzes insurance plans and policies to determine the extent of coverage for various medical procedures, treatments, medications, or services.
• Ensures compliance with industry-specific regulations, laws, and contractual obligations related to insurance verification.
• Identifies opportunities to streamline and optimize insurance verification processes.
• Provides exceptional customer service to patients or members throughout the insurance verification process by addressing inquiries, concerns, and disputes related to coverage or benefits in a timely and satisfactory manner.
• Communicates with insurance providers, brokers, or third-party administrators to obtain accurate and timely insurance information.
• Performs quality assurance checks on insurance verification processes and data to ensure accuracy and compliance with regulatory requirements.
• Handles complex insurance verification cases that may involve high-value claims, specialized services, or challenging coverage scenarios.
• Provides guidance, support, and mentorship to junior insurance verification employees by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills and competencies of the team.

Required Qualifications

• 2+ years of work experience
• Adept at problem solving and decision making skills

Preferred Qualifications

• Bachelor's Degree

Education

High School diploma or equivalent

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

This 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.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process.