CVS Health
Remote/Telecommute
Lead - Benefits Verification & Authorization Specialist
Posted over 1 month ago
Job Description
Job Description
Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as a Lead - Benefit Verification & Authorization 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.
Typical work hours for this position are Monday - Friday, rotating between 7:00 AM - 8:00 PM CST. This is a full-time career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits.
Partner with Coram/CVS Health and you'll have an exciting opportunity to utilize your healthcare training and customer services skills to provide specialty infusion services administered to patients in their homes. In this role, you will partner with a team who are passionate about making a difference in patients lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life!
Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word "Coram" derives from the Latin word "cor," meaning "heart"... and our dedication to our customers is truly from the heart.
Do you want to learn more? Check out the videos below!
https://www.youtube.com/user/CoramHealthcare or
https://www.youtube.com/user/CVSPharmacyVideos
Required Qualifications
* Able to apply basic computer skills. Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.
* Basic pharmaceutical knowledge pertaining to terminology, calculations and protocols.
* Must be able to utilize available resources independently and provide high quality work. Must be able to absorb presented information, display motivation, seek development and problem solve.
* Ability to adapt and change with workflow and shifting priorities.
* Must possess excellent written, verbal, grammar, and listening communication skills.
* Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
* Ability to maintain confidentiality of PHI (Protected Healthcare Information).
Preferred Qualifications
Call Center Experience
Education
HS or Equivalent
Business Overview
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.
Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as a Lead - Benefit Verification & Authorization 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.
Typical work hours for this position are Monday - Friday, rotating between 7:00 AM - 8:00 PM CST. This is a full-time career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits.
Partner with Coram/CVS Health and you'll have an exciting opportunity to utilize your healthcare training and customer services skills to provide specialty infusion services administered to patients in their homes. In this role, you will partner with a team who are passionate about making a difference in patients lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life!
Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word "Coram" derives from the Latin word "cor," meaning "heart"... and our dedication to our customers is truly from the heart.
Do you want to learn more? Check out the videos below!
https://www.youtube.com/user/CoramHealthcare or
https://www.youtube.com/user/CVSPharmacyVideos
Required Qualifications
* Able to apply basic computer skills. Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.
* Basic pharmaceutical knowledge pertaining to terminology, calculations and protocols.
* Must be able to utilize available resources independently and provide high quality work. Must be able to absorb presented information, display motivation, seek development and problem solve.
* Ability to adapt and change with workflow and shifting priorities.
* Must possess excellent written, verbal, grammar, and listening communication skills.
* Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
* Ability to maintain confidentiality of PHI (Protected Healthcare Information).
Preferred Qualifications
Call Center Experience
Education
HS or Equivalent
Business Overview
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.
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