Benefits Verification Specialist

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🔥 49 minutes ago

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Verify insurance coverage and obtain prior authorization information for patients • Complete and document benefit verification review • Provide information on Enteral home infusion services • Comply with regulatory compliance areas, policies, and procedures • Coordinate with Patient Intake Coordinators for new and existing accounts • Investigate type and level of insurance coverage to assess patient eligibility • Communicate with medical professionals and insurance company personnel • Complete data entry to ensure accuracy of reporting

🎯 Requirements

• Minimum one year experience in customer service in a healthcare environment • One year experience with medical insurance and/or medical benefit programs and terminology • Working knowledge of prior authorizations, benefits investigation, or insurance policy interpretation • Minimum one year experience working in Microsoft Office, specifically Excel, Outlook, and Word

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources, based on eligibility