1. Choose your Affinity Group

* Equal Opportunity / Affirmative Action

We serve Equal Opportunity Employers and are an Equal Opportunity Employer. The Professional Diversity Network has separate professional networking sites for different affinities, and in selecting the groups you identify with, you will be joined with those networks.

Note: Providing this information is strictly voluntary - you will not be penalized or subjected to adverse treatment. If you choose not to provide this information, simply select "Choose not to identify."

2. Choose Method
X
Sign in with LinkedIn
Sign in with Facebook
OR

Tell us about yourself

Benefits Verification and Authorization Specialist
at CVS Health
Mount Prospect, IL

Benefits Verification and Authorization Specialist
at CVS Health
Mount Prospect, IL

Save or bookmark jobs as you go and access them anytime later with your account.

Contacts

Description

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

Typical work hours for this role are Monday - Friday, 10:30AM - 7:00PM, with an opportunity for over-time per business need

Required Qualifications
* Minimum 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 insurance verification or obtaining medical authorizations.
* Experience with specialty infusion medications.

Education
Verifiable High School Diploma or GED is required.

Business Overview
It's a new day in health care.


Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services providing infusion therapies and services to over 20,000 patients each month.


We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.


CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.


If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Similar Jobs

See All »

Other Jobs at CVS Health

See All »