Benefits Verification Specialist

Job Description:

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 benefits and complete data entry and/or appropriate forms to document patient benefits coverage.

Shift/Work Hours: 8:30am – 5:30pm EST Monday-Friday

Primary Duties and 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.

What Cencora offers

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.