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Benefits Verification Specialist
CVS Health Careers. Verify insurance coverage and obtain prior authorization information for new and existing patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in verifying insurance coverage and processing patient prescription orders while ensuring compliance with regulatory requirements. Proficient in data entry and communication with medical professionals and insurance personnel within a healthcare environment.
Highest-signal resume keywords
Insurance Benefit VerificationData Entry ExperienceMicrosoft Office ProficiencyHome Infusion ExperienceHealthcare Insurance Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Coverage VerificationPrescription Order ProcessingBenefit Verification ReviewsData EntryRegulatory Compliance
Soft Skills
CommunicationCollaborationMentoring
Tools & Technologies
ACISMicrosoft OutlookMicrosoft Word
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Home Infusion ServicesDurable Medical EquipmentHealthcare EnvironmentPatient Eligibility Assessment
About the role
Key responsibilities & impact- Verify insurance coverage and obtain prior authorization information for new and existing patients
- Process patient prescription orders in a timely manner
- Complete and document benefit verification reviews
- Provide information on specialty medications and home infusion services
- Comply with regulatory requirements, policies, procedures, and best practices
- Coordinate with Patient Intake Coordinators for new and existing accounts
- Investigate insurance coverage type and level to assess patient eligibility
- Communicate with medical professionals and insurance company personnel
- Complete data entry in ACIS to ensure accurate reporting and outcomes
- Provide input on self-reviews
- Assist less experienced peers
- Perform other reasonable duties assigned by leaders
Requirements
What you’ll need- Must live within a commutable distance of 60 minutes to Malvern, PA; Mendota Heights, MN; or San Diego, CA
- Experience verifying benefits with insurance companies
- Data entry experience
- Working knowledge of Microsoft Office, specifically Outlook and Word
- Verifiable High School diploma or GED is required
- Preferred: Home infusion or durable medical equipment (DME) experience
- Preferred: Experience working in a healthcare environment
- Preferred: Experience working with healthcare insurance
- Ability to work Monday–Friday, 8:30am–5pm CST or 9am–5:30pm CST