CVS Health Insurance and Authorization Specialist in Rancho Cordova, California
Coram/CVS Health is looking for a high-energy customer service professional to join our Rancho Cordova team as an Insurance and Authorization Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV therapy for Coram's patients. We believe that Insurance and Authorization Specialists are a key part of creating a positive experience for our patients. In this dynamic and fast-paced role,you will be responsible for verifying benefit coverage and requesting authorization for payment with various insurance companies. You will share this information with our Sales and branch personnel in order to ensure excellent service for new home infusion patients.
As an Insurance and Authorization Specialist you will…
Maintain insurance authorizations for current patients.
Re-verify insurance coverage for changes in medication orders.
Research and follow up on authorization denials.
Work closely with branch staff to collect additional information on Physician Orders.
Scan and upload documents from insurance providers into electronic records system and notify appropriate departments.
Submit changes to patient prescriptions in the system and obtain authorization for payment.
This is a full-time,permanent, benefited position and is NOT through an agency. Typical work hours for this role are Monday –Friday, between 6 :00AM – 6:00PM, with an opportunity for over-time 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 7 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
Minimum year experience working in a customer service or call center environment.
Data entry experience.
Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Home infusion or durable medical equipment (DME) experience.
Experience work in a healthcare environment.
Experience working with healthcare insurance verification or obtaining medical authorizations.
Verifiable High School Diploma or GED is required.
Coram CVS/specialty infusion services is a leading national provider of specialty home infusion and specialty pharmacy services. The integration of Coram into CVS Health enables the company to offer enhanced, comprehensive infusion services; expanded payer access; and a national network of more than 85 locations, including 65 ambulatory infusion suites. Providing infusion therapies and services to over 20,000 patients each month, Coram cares for patients through all phases of their healthcare continuum including clinical and compliance monitoring, and individual patient counseling. CVS Health, through our unmatched breadth of service offerings, is the nation’s largest pharmacy health care provider transforming the delivery of health care services in the U.S. Our energetic and service-oriented colleagues embrace fresh ideas, new perspectives, a diversity of experiences, and a dedication to service to meet the needs of the many people and businesses relying on us each day.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health at mailto:AA_EEO@cvscaremark.com
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/