Benefits Verification Specialist

CVS Health•Work At Home-Minnesota, MN

4d•$17 - $31•Hybrid

About The Position

Coram/CVS Health is seeking a high-energy healthcare professional to join their National team as a Benefit Verification Specialist. This role involves working closely with Patient Intake Coordinators and insurance providers to verify coverage for in-home Specialty therapies for Coram's patients. The Benefit Verification Specialist is crucial in creating a positive patient experience by verifying insurance coverage and obtaining prior authorization information for new and existing patients to process prescription orders promptly, while providing excellent customer service. The role requires an understanding of insurance carriers and concepts such as pharmacy benefits, major medical benefits, per diem coverage, and knowledge of government and patient assistance programs.

Requirements

Experience verifying benefits with insurance companies
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 working with healthcare ins

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 and responsibilities that are reasonable as assigned by your leaders.