Benefits Verification & Authorization Specialist
Coram/CVS Health is looking for a high-energy healthcare professional to join our national team as a 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 IV therapy 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 to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
This role will require an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs.
Colleague will be required to work mandatory overtime/extended work week when needed, as well as, regular and predictable attendance.
- Minimum one year experience working in a healthcare environment
- Knowledge of Medicare, Medicaid, and third party vendors
- Analytical and problem solving skills
- Attention to detail
- Experience working in Microsoft Office, specifically Excel, Outlook and Word
- Pharmacy, PBM or Specialty pharmacy experience
- Experience working with medical billing procedure
- Previous experience working with Prior Authorizations
- Experience working with Microsoft Teams
High School Diploma or GED Equivalent required.
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.