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Cvs Benefits Verification Remote Jobs (NOW HIRING)

Soleo Health, Inc.

Clearance Specialist - Remote

$23 - $27/hr

Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services * Responsible to document all ...

Soleo Health, Inc.

Clearance Specialist - Remote

$23 - $27/hr

Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services * Responsible to document all ...

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How much do cvs benefits verification remote jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for cvs benefits verification remote in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What are some common challenges faced in a CVS Benefits Verification Remote role, and how can they be managed?

A common challenge in the CVS Benefits Verification Remote role is navigating complex insurance policies and quickly resolving discrepancies in patient coverage. Effective communication with insurance providers, pharmacies, and patients is crucial for resolving issues efficiently. Staying organized and keeping up with frequent policy updates helps minimize errors. Utilizing CVS's training resources and collaborating with experienced team members can help new hires overcome these challenges and ensure accurate, timely benefits verification.

What is a CVS Benefits Verification Remote job?

A CVS Benefits Verification Remote job involves working from home to help verify patients' insurance benefits for prescription medications and healthcare services. Employees in this role typically communicate with insurance companies and healthcare providers to confirm coverage, copayments, and eligibility details. This position is essential in ensuring patients receive the medications and care they need without unexpected costs. Remote workers use secure systems to manage sensitive information and may also assist patients with questions about their benefits. Training and support are usually provided by CVS to help employees succeed in a remote environment.

What are the key skills and qualifications needed to thrive as a CVS Benefits Verification Remote Specialist, and why are they important?

To thrive as a CVS Benefits Verification Remote Specialist, you need knowledge of insurance processes, benefits verification, and healthcare terminology, often supported by experience in medical billing or pharmacy environments. Familiarity with benefits management software, pharmacy systems, and electronic health records is typically required. Strong attention to detail, effective communication, and problem-solving skills help you excel in resolving patient and provider inquiries. These abilities are crucial for ensuring accurate benefits processing, timely patient care, and regulatory compliance in a remote setting.
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Cvs Benefits Verification Remote jobs near you
Infographic showing various Cvs Benefits Verification Remote job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.
Benefits Manager - Fully Remote | Upto $105/hr

Benefits Manager - Fully Remote | Upto $105/hr

Mercor

New York, NY • Remote

$105/hr

Full-time

Posted 26 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Insurance Verification & Benefit Manager
Type: Contract
Compensation: $105/hour
Location: Remote

Role Responsibilities

  • Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers.
  • Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions.
  • Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery.
  • Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance.
  • Develop and document SOPs for eligibility and benefits verification workflows.
  • Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times.

Qualifications

Must-Have

  • 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role.
  • Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools.
  • Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures.
  • Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms.
  • Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify subtle discrepancies in coverage data.

Preferred

  • CHAM, CHAA, or equivalent front-end revenue cycle certification.
  • Experience with automated eligibility verification tools and RPA solutions.
  • Background in denial root cause analysis related to eligibility and coverage errors.
  • Familiarity with AI tools and comfort evaluating AI-generated healthcare content.
  • Experience presenting eligibility performance data to senior leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.