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Benefits Verification Specialist jobs in United States
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CVS Health · 10 hours ago

Benefits Verification Specialist

CVS Health is building a world of health around every individual, and they are seeking a Benefits Verification Specialist to join their National team. This role involves verifying insurance coverage and obtaining prior authorization information for in-home Specialty therapies, ensuring a positive experience for patients and healthcare professionals.
Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Complete and document benefit verification review
Provides information on specialty medications/ home infusion services
Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
Coordinate with the Patient Intake Coordinators for new and existing accounts
Investigate type and level of insurance coverage to assess patient eligibility for the program
Communicate with medical professionals and insurance company personnel
Complete data enter in ACIS to ensure accuracy of reporting and outcomes
Provide input on self reviews
Assist less experienced peers
Perform other duties & responsibilities that are reasonable as assigned by your leaders y

Qualification

Insurance verificationData entryMicrosoft OfficeHome infusion experienceHealthcare environment experienceCustomer serviceCommunication skills

Required

Experience verifying benefits with insurance companies
Data entry experience
Working knowledge in Microsoft Office, specifically Outlook and Word
Verifiable High School diploma or GED is required

Preferred

Home infusion or durable medical equipment (DME) experience
Experience work in a healthcare environment
Experience working with healthcare ins

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase