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.

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