Healthcare
Benefit Verification Specialist
Job ID: #
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Company:
Location:
US - Remote
Company Size:
Job Type:
Full Time
Date:
Non-Phone
Requirements
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
Coram/CVS Health is looking for a high-energy customer service professionals to join our Mt. Prospect team as Benefits Verification and Authorization Specialists! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV specialty therapy for Coram's patients. We believe that Benefit Verification and Authorization Specialists are a key part of creating a positive experience for our patients. In this dynamic and fast-paced role, you will be responsible for verifying benefit coverage and requesting authorization for payment with various insurance companies. You will share this information with our Sales and branch personnel in order to ensure excellent service for new home infusion patients.
As an Benefits Verification and Authorization Specialists you will…
* Maintain insurance authorizations for current patients.
* Re-verify insurance coverage for changes in medication orders.
* Research and follow up on authorization denials.
* Work closely with branch staff to collect additional information on Physician Orders.
* Scan and upload documents from insurance providers into electronic records system and notify appropriate departments.
* Submit changes to patient prescriptions in the system and obtain authorization for payment.
Typical work hours for this role are Monday – Friday, start time between 9:30-11am to end time of 5pm – 7:30PM, with an opportunity for over-time per business need.
Required Qualifications :
* Minimum 1 year experience working in a customer service or call center environment.
* Data entry experience.
* Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Required Qualifications
Minimum 1 year experience working in a customer service or call center environment.
* Data entry experience.
* Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Preferred Qualifications
Experience work in a healthcare environment.
* Experience working with healthcare insurance verification or obtaining medical authorizations.
* Experience with specialty infusion medications.
Education Verifiable High School Diploma or GED is required.
Pay Range
The typical pay range for this role is:
$17.00 – $29.30
This pay range represents the base hourly rate or base annual full-time salary 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 eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health colleagues can initiate a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through myHR (1-888-694-7287, or through myLeave at myHR). If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.