Benefit Verification Specialist

About the position

The Benefit Verification Specialist at CVS Health plays a crucial role in ensuring a positive experience for patients by verifying insurance coverage for in-home IV therapy. This position involves collaborating with Patient Intake Coordinators and insurance providers to perform benefit investigations and obtain prior authorizations for patient prescriptions. The role requires a strong understanding of insurance concepts and excellent customer service skills.

Responsibilities
? Verify insurance coverage for patients requiring in-home IV therapy.
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? Perform benefit investigations and obtain prior authorizations for new and existing patients.
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? Process patient prescription orders in a timely manner.
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? Demonstrate excellent customer service to patients, healthcare professionals, and insurance carriers.
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? Understand insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage.

Requirements
? Analytical and problem-solving skills.
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? Attention to detail.
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? Experience working in Microsoft Office, specifically Excel, Outlook, and Word.
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? High School Diploma or GED Equivalent required.

Nice-to-haves
? Minimum one year experience working in a healthcare environment.
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? Knowledge of Medicare, Medicaid, and third-party vendors.
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? Epic experience.

Benefits
? Medical, dental, and vision benefits.
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? 401(k) retirement savings plan.
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? Employee Stock Purchase Plan.
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? Fully-paid term life insurance plan.
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? Short-term and long-term disability benefits.
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? Well-being programs.
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? Education assistance and free development courses.
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? CVS store discount and discount programs with participating partners.
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? Paid Time Off (PTO) and paid holidays.