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CVS Health Authorization Specialist in Eden Prairie, Minnesota

Job Description

Coram/CVS is looking for high energy health professional to join our national team as a Benefit Verification and Authorization Specialist. This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and Insurance Providers to secure for In-Home IV Therapy for Coram/CVS specialty infusion patients. We believe that a Benefit Verification and Authorization Specialist plays a key role in creating a positive experience for our patients.In this dynamic and fast paced role, you will be responsible for obtaining authorizations for both our new, and existing patients. This will allow us to process timely prescription orders, while demonstrating exceptional customer service to our referrals, insurance carriers and patients. This role will require an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs.This is a full-time benefited position and is NOT through an agency. Typical hours are Monday to Friday between 9:30AM-6:00PM CST. A Saturday rotation may be expected as well. OT may be required per business need. With Coram/CVS Health, you'll have an exciting opportunity to utilize your healthcare and customer service experience with a team who are passionate about making a difference in patient’s lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life! Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word “Coram” derives from the Latin word “cor,” meaning “heart”... and our dedication to our customers is truly from the heart. Do you want to learn more? Check out the videos below!https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos

Required Qualifications

Minimum 1 year of experience working in a healthcare environmentPrevious experience working with prior authorizationsAnalytical and problem solving skillsAttention to detail and multi-tasking skills*Experience working in Microsoft Office, specifically Excel, Word and Outlook.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

  • Knowledge of Medicare, Medicaid, and Third Party Vendors* Pharmacy, PBM, or Specialty Pharmacy experienceExperience working with healthcare insurance verificationPrevious experience with medical billing procedures

Education

High School Diploma or GED

Business Overview

At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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