Benefits Verification Specialist

The Benefits Verification Specialist will contact insurance companies to verify patient specific benefits for client programs. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage.

Location: Remote, USA

Shift/Work Hours: Must be available during program hours of 8:00am - 8:00pm EST

Primary Responsibilities:

* Reviews all patient insurance information needed to complete the benefit verification process.
* Triages cases with missing information to appropriate program associate.
* Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
* Identifies any restrictions and details on how to expedite patient access.
* Could include documenting and initiating prior authorization process, claims appeals, etc.
* Completes quality review of work as part of finalizing product.
* Reports any reimbursement trends/delays to management.
* Performs related duties and special projects as assigned.
* Applies company policies and procedures to resolve a variety of issues.

Experience and Educational Requirements:

* High school diploma or GED required.
* Requires minimum of two (2) years directly related and progressively responsible. experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
* A bachelor's degree is preferred.
* An equivalent combination of education and experience will be considered.

Minimum Skills, Knowledge and Ability Requirements:

* Advanced customer service experience.
* Proficient Windows-based experience including fundamentals of data entry/typing.
* Proficient with Microsoft Outlook, Word, and Excel.
* Strong interpersonal skills and professionalism.
* Independent problem solver and ability to make , good decisions.
* Robust analytical skills.
* Strong attention to detail.
* Effective written and verbal communication.
* Familiarity with verification of insurance benefits preferred.
* Attention to detail, flexibility, and the ability to adapt to changing work situations. uality review of work as part of finalizing product.
* Reports any reimbursement trends/delays to management.
* Performs related duties and special projects as assigned.
* Applies company policies and procedures to resolve a variety of issues.

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

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