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Benefit Verification Specialist

Remote, USA Full-time Posted 2025-11-03
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. Apply Job!  

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