Benefit Verification Specialist

Full-time - Entry Level

Remote - Saint Paul, MN

Health and Personal Care Retailers

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

Requirements

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

Nice-to-haves

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

Benefits

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