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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: 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 Enteral 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 and obtain prior authorization information 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 pharmacy benefits, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs.
Job Responsibility
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
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
Nice to have
Home infusion or durable medical equipment (DME) experience
Experience work in a healthcare environment
Experience verifying benefits with insurance companies
Experience working with healthcare ins
What we offer
Medical
Dental
Vision coverage
Paid time off
Retirement savings options
Wellness programs
CVS Health bonus, commission or short-term incentive program