Hybrid Benefit Verification Specialist – Pharmacy

Elevance Health, Inc.; Grand Prairie (TX); Hybrid; USD 42,000 - 62,000; Full time

Job summary

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

The position is hybrid, with in-office 1-2 days per week and flexible scheduling. Candidates should have a HS diploma or GED and pharmacy or insurance verification experience, with pharmacy tech

Qualifications

• Requires HS Diploma or GED and 1 year of pharmacy or insurance verification experience.
• Pharmacy Tech license or certification highly desired.
• Experience with Medicare (Parts A-D) and specialty pharmacy preferred.

Responsibilities

• Communicating with insurance providers, healthcare teams, and patients to gather and confirm benefit information.
• Support prior authorizations, appeals, and enrollment in financial assistance programs.
• Ensure accurate patient setup in the system, monitor referrals, submit and follow up on authorization requests.
• Inform the patient regarding their coverage status, financial obligations, and next steps.
• Resolve inquiries efficiently, aiming for first-call resolution while maintaining confidentiality.
• Collaborate with pharmacy teams and providers to ensure timely medication access and proper claim processing.

Skills

Pharmacy verification experience

Customer communication

Call center experience

Medicare knowledge

Education

HS Diploma or GED

Pharmacy Tech certification

Job description

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

The position is hybrid, with in-office 1-2 days per week and flexible scheduling. Candidates should have a HS diploma or GED and pharmacy or insurance verification experience, with pharmacy tech