[Hiring] Benefits Verification Specialist @CVS Health

Role Description

Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as Benefit Verification Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home Specialty therapies for Coram's patients. We believe that Benefit Verification Specialists are a key part of creating a positive experience for our patients.

In this dynamic and fast-paced role, you will be responsible for:

• Verifying insurance coverage and obtaining prior authorization information for both new and existing patients.
• Processing patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers.
• Understanding insurance carriers and concepts including pharmacy benefits, major medical benefits, and per diem coverage.
• Knowledge of government and patient assistance programs.

Key Responsibilities:

• Complete and document benefit verification review.
• Provide information on specialty medications/home infusion services.
• Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
• Coordinate with the Patient Intake Coordinators for new and existing accounts.
• Investigate type and level of insurance coverage to assess patient eligibility for the program.
• Communicate with medical professionals and insurance company personnel.
• Complete data entry in ACIS to ensure accuracy of reporting and outcomes.
• Provide input on self-reviews.
• Assist less experienced peers.
• Perform other duties & responsibilities that are reasonable as assigned by your leaders.

Qualifications

• Experience verifying benefits with insurance companies.
• Data entry experience.
• Working knowledge in Microsoft Office, specifically Outlook and Word.

Requirements

• Home infusion or durable medical equipment (DME) experience (preferred).
• Experience working in a healthcare environment (preferred).
• Experience working with healthcare insurance (preferred).

Education

• Verifiable High School diploma or GED is required.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.