Benefits Verification Specialist

Xcenda, LLC; United States; Remote; USD 32,000 - 48,000; Full time

Job summary

A leading healthcare solutions company seeks a Benefits Verification Specialist to verify patient benefits for client programs. The role involves contacting insurance companies, documenting coverage details, and ensuring efficient patient access. Ideal candidates will have strong customer service skills and experience in benefits verification.

Benefits

Medical, Dental, and Vision Care

Paid Parental Leave

Professional Development Resources

Qualifications

• Minimum of two years experience in customer service or related fields.
• Strong benefits verification experience.
• Proficient in data entry and Windows-based applications.

Responsibilities

• Contact insurance companies to verify patient benefits.
• Complete data entry and document patient coverage.
• Identify restrictions and expedite patient access.

Skills

Customer Service

Attention to Detail

Analytical Skills

Education

High School Diploma or GED

Bachelor's Degree (Preferred)

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Benefits Verification Specialist page is loaded

Benefits Verification Specialist

Apply locations Remote, USA time type Full time posted on Posted Yesterday job requisition id R259362

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 Benefits Verification 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:

• 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.

Experience and Educational Requirements:

• High school diploma or GED required; bachelor’s degree is preferred.
• 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.
• An equivalent combination of education and experience will be considered.

Minimum Skills, Knowledge, and Ability Requirements:

• Strong benefits verification experience.
• 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.
• Familiarity with verification of insurance benefits preferred.
• Attention to detail, flexibility, and the ability to adapt to changing work situations.

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora

Full time

Salary Range*

$32,300 - 47,740

*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email [e-mail] . We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

.

Affiliated Companies:

Affiliated Companies: Cencora Patient Services, LLC

About Us

Cencora is a leading global pharmaceutical solutions company that is committed to improving the lives of people and animals everywhere. We connect manufacturers, providers, and patients to ensure that anyone can get the therapies they need, where and when they need them.

We’re a purpose-driven organization, where all of our team members around the world are united in our responsibility to create healthier futures. We work together every day to help our partners bring their innovations to patients worldwide, creating unparalleled access and impact at the center of health.

Job Scams

Recruitment scams are on the rise and the intent is to target individuals looking for employment opportunities. To protect yourself, we urge you to be vigilant and follow these guidelines.

1.) Research the Company: Thoroughly research any company before applying or sharing personal information, check their website, read reviews, and verify their legitimacy.

2.) Be Wary of Unrealistic Promises: Exercise caution If a job posting offers high salaries and minimal qualifications. Legitimate jobs will have realistic expectations and provide detailed job requirements. Jobs at Cencora can be found on Cencora.com/careers

3.) Guard Your Personal Information: Only share sensitive information after vetting the employer’s credibility. Avoid sharing your Social Security number, bank account details, or identification documents during the application process. Cencora does not request this information as part of the employment application.

4.) Avoid Upfront Payments: Legitimate employers do not require payment during the hiring process. Be suspicious if you are asked to pay for training materials, processing fees, or background checks before securing a job offer. Cencora will never ask you for payment information during the hiring or onboarding process.

5.) Verify Communication Channels: Scammers often use free email services or chat platforms without providing an official company contact information. Cencora recruiters will have an email address ending in @cencora.com, @alliance-healthcare.net, @alliance-healthcare.co.uk, alliance-healthcare.fr or alliance-healthcare.ro

Remember to stay vigilant and informed about common scam tactics to reduce the risk of falling victim to fraudulent employment schemes.