CVS Health

Benefits Verification Specialist

Posted on: 29 Jan 2021

Eden Prairie, MN

Job Description

Job Description
Coram/CVS Health is looking for a high-energy customer service professional to join our Eden Prairie team as a Benefit Verification Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV therapy for Coram's patients. We believe that Benefit Verification 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 a Benefit Verification Specialist 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.

This is a full-time benefited position and is NOT through an agency. Typical hours are Monday to Friday between 8am-730pm, with Saturday work required.

With Coram/CVS Health, you'll have an exciting opportunity to utilize your healthcare and customer service experience with a team who are passionate about making a difference in patients lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life!

Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word Coram derives from the Latin word cor, meaning heart... and our dedication to our customers is truly from the heart.

Do you want to learn more? Check out the videos below!
https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos

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
* Home infusion or durable medical equipment (DME) experience.
* Experience work in a healthcare environment.
* Experience working with healthcare ins

Education
Verifiable High School Diploma or GED is required.

Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

CVS Health

Woonsocket, RI

CVS Health Corporation provides health services and plans in the United States. Its Pharmacy Services segment offers pharmacy benefit management solutions, such as plan design and administration, formulary management, retail pharmacy network management, mail order pharmacy, specialty pharmacy and infusion, Medicare Part D, clinical, disease management, and medical spend management services. The company’s Retail/LTC segment sells prescription drugs and general merchandise, such as over-the-counter drugs, beauty products, cosmetics, and personal care products, as well as provides health care services through its MinuteClinic walk-in medical clinics.

Its Health Care Benefits segment offers traditional, voluntary, and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, medical management, Medicare plans, PDPs, Medicaid health care management services, workers’ compensation administrative services, and health information technology products and services. The company’s customers include employers, insurance companies, unions, government employee groups, health plans, Medicare Part D prescription drug plans, Medicaid managed care plans, plans offered on public health insurance exchanges and private health insurance exchanges, other sponsors of health benefit plans, individuals, college students, workers, labor groups, and expatriates.

As of December 31, 2018, it had approximately 40 leased on-site pharmacies, 25 leased retail specialty pharmacy stores, 20 specialty mail order pharmacies, and 90 branches for infusion and enteral services; and 9,900 retail locations and 1,100 MinuteClinic locations, as well as operated an online retail pharmacy Websites, LTC pharmacies, and onsite pharmacies. The company was formerly known as CVS Caremark Corporation and changed its name to CVS Health Corporation in September 2014. CVS Health Corporation was founded in 1963 and is headquartered in Woonsocket, Rhode Island.

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