Benefits Verification Representative
About The Position
Coram/CVS Health is seeking a high-energy healthcare professional to join their National team as a Benefit Verification Specialist with Coram's Enteral Nutrition Center. This role involves working closely with Patient Care Coordinators and insurance providers to verify coverage for in-home Enteral therapy for Coram's patients. The Benefit Verification Specialist is crucial in creating a positive patient experience. In this dynamic and fast-paced role, the specialist will verify insurance coverage and obtain prior authorization information for new and existing patients to process prescription orders promptly, while providing excellent customer service to patients, healthcare professionals, and insurance carriers. The role requires an understanding of insurance carriers and concepts such as pharmacy benefits, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
Requirements
- Minimum 1 year experience working in a customer service or call center environment
- Data entry experience
- Working knowledge in Microsoft Office, specifically Outlook and Word
- Verifiable High School Diploma or GED is required
Nice To Haves
- Home infusion or durable medical equipment (DME) experience
- Experience work in a healthcare environment
- Experience verifying benefits with insurance companies
- Experience working with healthcare insurance
Responsibilities
- Complete and document benefit verification review
- Provides information on Enteral 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 enter 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
Benefits
- medical coverage
- dental coverage
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- CVS Health bonus
- commission
- short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
