Pharmacy Care Representative - Work From Home Illinois

Position Summary

CVS Health/Specialty is offering an exciting opportunity to be part of our Pharmacy Care Representative team. In this customer service role, you will interact directly with customers to answer questions, solve problems, provide education, and maintain our company’s reputation for high‑quality service. This includes new patient enrollment, verification of insurance coverage, performing benefit investigations and processing medication orders for both new and existing patients.

• 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, collecting the 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 or escalate clinical questions and issues to the staff pharmacist for resolution.

This is a work‑from‑home position. Training is virtual and held Monday through Friday, 8am‑4:30pm CST. The role is full‑time, 40 hours per week, with overtime available during peak business periods. Starting pay is $20.90 per hour.

• 1+ years of experience in a customer‑service role handling and resolving a high volume of complex customer needs over the phone.
• 1+ years of work experience with Windows‑based applications such as Microsoft Office (Outlook, Excel, Teams, Word), internet navigation, and email applications.
• 1+ years of computer keyboarding experience, skills and aptitude.
• Active Valid Pharmacy Technician License and/or Certification as required by the State of IL.
• Must have a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite are not permitted. A secure and private home workspace free from distractions is required.

• Prior healthcare work experience and familiarity with benefits, insurance, prescriptions, and medical terminology.

• High School Diploma or equivalent work experience.

The typical pay range for this role is $17.00 – $31.30 per hour. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant considerations.

This position is eligible for a comprehensive benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.

• Anticipated Weekly
  
  Hours:
  
  40
• Time Type:
  Full time

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.