Hybrid Benefit Verification Specialist (Insurance & Auths)

Elevance Health; Mason (OH); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Hybrid work arrangement

Paid Time Off

401(k) + match

Bonus programs

Job summary

BioPlus Specialty Pharmacy, part of Elevance Health, seeks a Benefit Verification Specialist to review, verify, and document patient insurance coverage for medical and pharmacy benefits. The role supports loading insurance details, coordinating benefits, and running test claims to confirm coverage and reimbursement outcomes.

The position offers in-office collaboration 1-2 days weekly within a hybrid work model, with flexibility to support productivity and work-life balance.

Qualifications

• HS Diploma or GED and 1 year of pharmacy or insurance verification experience.
• Pharmacy tech lic or certification is preferred.
• Specialty Pharmacy experience preferred.
• Medicare (Parts A–D) knowledge preferred.

Responsibilities

• Review and verify patient insurance coverage for medical and pharmacy benefits.
• Load insurance details, coordinate benefits, and run test claims.
• Support prior authorizations, appeals, and enrollment in financial assistance programs.
• Ensure accurate patient setup in the system and monitor authorization requests.
• Inform patients of coverage status and financial obligations.
• Collaborate with pharmacy teams to ensure timely medication access and proper claim processing.

Skills

Insurance verification

Communication

Customer service

HIPAA compliance

Education

HS Diploma or GED

Job description

BioPlus Specialty Pharmacy, part of Elevance Health, seeks a Benefit Verification Specialist to review, verify, and document patient insurance coverage for medical and pharmacy benefits. The role supports loading insurance details, coordinating benefits, and running test claims to confirm coverage and reimbursement outcomes.

The position offers in-office collaboration 1-2 days weekly within a hybrid work model, with flexibility to support productivity and work-life balance.