Benefits Verification Specialist

Cencora, Inc.; Ontario; On-site; CAD 32,000 - 48,000; Full time

Job summary

Cencora, Inc. is seeking a Benefits Verification Specialist to join their team. The role involves verifying patient-specific benefits, documenting coverage, and ensuring quality in the verification process. Candidates should have strong customer service skills, analytical abilities, and a background in healthcare or related fields.

Benefits

Medical, dental, and vision benefits

Wellness programs

Support for working families

Opportunities for professional growth

Qualifications

• Minimum of two years of experience in customer service, medical billing, or related fields.
• Strong benefits verification experience required.
• Familiarity with insurance benefits verification preferred.

Responsibilities

• Contact insurance companies to verify patient-specific benefits.
• Document specifics for various payer plans, including patient coverage.
• Perform quality review of work as part of finalizing the product.

Skills

Customer service

Analytical skills

Attention to detail

Problem-solving

Effective communication

Education

High school diploma or GED

Bachelor’s degree (preferred)

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

The Benefits Verification Specialist will contact insurance companies to verify patient-specific benefits for client programs. The specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage.

Work/Shift Hours: 9:00am – 6:00pm Monday-Friday

Primary Duties and Responsibilities:

• Review all patient insurance information needed to complete the benefit verification process.
• Triages cases with missing information to appropriate program associate.
• Verify patient-specific benefits and document specifics for various payer plans, including patient coverage, cost share, and access/provider options.
• Identify restrictions and details on how to expedite patient access.
• Document and initiate prior authorization processes, claims appeals, etc.
• Perform quality review of work as part of finalizing the product.
• Report reimbursement trends/delays to management.
• Perform related duties and special projects as assigned.
• Apply company policies and procedures to resolve issues.

Experience and Educational Requirements:

• High school diploma or GED required; bachelor’s degree preferred.
• Minimum of two (2) years of experience in customer service, medical billing and coding, benefits verification, healthcare, or related fields.
• Equivalent education and experience considered.

Minimum Skills, Knowledge, and Abilities:

• Strong benefits verification experience.
• Excellent customer service skills.
• Proficiency in Windows, data entry, and typing fundamentals.
• Familiarity with Microsoft Outlook, Word, and Excel.
• Strong interpersonal and professional skills.
• Independent problem-solving and decision-making abilities.
• Analytical skills and attention to detail.
• Effective communication skills.
• Familiarity with insurance benefits verification preferred.
• Adaptability to changing work situations.

What Cencora Offers:

We provide compensation, benefits, and resources that foster an inclusive culture and support our team members’ purpose-driven lives. Our benefits include medical, dental, vision, wellness programs, support for working families, and opportunities for professional growth through training, mentorship, and volunteer activities. For details, visit https://www.virtualfairhub.com/cencora.

Salary Range*

$32,300 - 47,740

*This range reflects a national average; actual salaries may vary by location, with adjustments for states like Colorado, California, Washington, New York, Hawaii, Vermont, Minnesota, Massachusetts, and Illinois.

Equal Employment Opportunity:

Cencora is committed to providing equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or other protected classes. We also provide reasonable accommodations for individuals with disabilities during the employment process. To request accommodations, contact 888.692.2272 or email [e-mail]. Messages unrelated to accommodation requests will not be responded to.

Affiliated Companies:

Cencora Patient Services, LLC