Benefits Verification Specialist

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.

About the role

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 Specialty therapies 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 verify insurance coverage and obtain prior authorization information for both new and existing patients to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers. This role requires 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.

Candidates must live within a commutable distance (within 60 minutes) to one of the following locations:

• Malvern, PA (6 Spring Mill Drive)
• Mendota Heights, MN (2345 Waters Drive)
• San Diego, CA (12310 World Trade Drive)

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 as reasonably assigned by your leaders.

Requirements

• Experience verifying benefits with insurance companies.
• Data entry experience.
• Working knowledge of Microsoft Office, specifically Outlook and Word.

Qualifications

• Verifiable High School diploma or GED is required.
• Home infusion or durable medical equipment (DME) experience (preferred).
• Experience working in a healthcare environment (preferred).
• Experience working with healthcare insurance (preferred).

Schedule

• Monday–Friday, 8:30 AM–5:00 PM CST or 9:00 AM–5:30 PM CST.
• Full-time, 40 anticipated weekly hours.

Pay

The typical pay range for this role is $17.00–$31.30 per hour. This pay range represents the base hourly rate for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Benefits

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources.