Hybrid Pharmacy Benefit Verifier — Patient Support

Elevance Health, Inc.; Mason (OH); Hybrid; USD 32,000 - 52,000; Full time

Job summary

BioPlus Specialty Pharmacy, part of the Elevance Health family, is seeking a Benefit Verification Specialist. This role primarily verifies patient insurance coverage for medical and pharmacy benefits, loads insurance details, and coordinates benefits with care teams.

The position supports prior authorizations and enrollment in financial assistance programs, ensuring accurate patient information and compliant processing in a hybrid in-office/remote environment.

Qualifications

• Requires HS Diploma or GED and 1 year of pharmacy or insurance verification experience.

Responsibilities

• Communicate with insurance providers, healthcare teams, and patients to gather and confirm benefit information (coverage, copays, deductibles, authorization requirements).
• 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, and document findings for operations.
• Inform patients about coverage status, financial obligations, and next steps.
• Resolve inquiries efficiently, aiming for first-call resolution while maintaining compliance and patient confidentiality.
• Collaborate with pharmacy teams and providers to ensure timely medication access and proper claim processing.

Education

HS Diploma or GED

Job description

BioPlus Specialty Pharmacy, part of the Elevance Health family, is seeking a Benefit Verification Specialist. This role primarily verifies patient insurance coverage for medical and pharmacy benefits, loads insurance details, and coordinates benefits with care teams.

The position supports prior authorizations and enrollment in financial assistance programs, ensuring accurate patient information and compliant processing in a hybrid in-office/remote environment.