Benefit Verification & Authorization Specialist

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 Specialist! 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, start time between 9:30-11am to end time of 5pm - 7:30PM, with an opportunity for over-time per business need.

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

Education
Verifiable High School Diploma or GED is required.