Benefits Verification Specialist jobs in United States
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Cencora · 14 hours ago

Benefits Verification Specialist

Cencora is dedicated to creating healthier futures and is seeking a Benefits Verification Specialist to join their team. The role involves contacting insurance companies to verify patient-specific benefits, documenting coverage details, and ensuring efficient patient access to services.

Emergency MedicineEnterprise SoftwareHealth CareMedicalPharmaceutical

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

Qualification

Benefits verificationCustomer serviceMedical billingCodingData entryMicrosoft OutlookMicrosoft WordMicrosoft ExcelAnalytical skillsInterpersonal skillsAttention to detailWritten communicationVerbal communication

Required

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
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

Preferred

A bachelor's degree is preferred
Familiarity with verification of insurance benefits preferred

Benefits

Medical, dental, and vision care
Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Behavioral health solutions
Paid parental leave
Paid caregiver leave
A variety of training programs
Professional development resources
Opportunities to participate in mentorship programs
Employee resource groups
Volunteer activities

Company

Cencora is a global healthcare company that advances the development and delivery of pharmaceuticals and healthcare products.

Funding

Current Stage
Public Company
Total Funding
$4.83B
2024-12-02Post Ipo Debt· $1.8B
2024-02-05Post Ipo Debt· $500M
2022-11-07Post Ipo Secondary· $500M

Leadership Team

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Robert Mauch
President and Chief Executive Officer
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Mike Baca
Senior Director, AI Platforms & Solutions
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Company data provided by crunchbase