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Job Description

The Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. 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. Cross trains in other front end insurance verification process.

Responsibilities/Essential Functions (other duties as assigned):

• Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.

• Verify if any prior authorizations are required pre-treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once received

• Utilize online insurance portals, phone communication and other eligibility tools in order to obtain accurate verifications and submit authorization requests based on verified authorization requirements

• Coordinate with Financial Counselor, Patient Navigator and front office staff to ensure smooth collection process.

• Maintains appropriate documentation in clinic systems and EMR.

• Communicate with patients, front end staff, physicians & payors as needed in order to obtain updated insurance and/or clinical information

• Operate compliantly at all times by keeping patient data secure and confidential and adhering to all company policies and procedures

• Maintain excellent customer service and kindness with all patients and staff

• Regular attendance and punctuality.

• Execute all functions of the role with positivity and team effort by ensuring that all processing and reporting deadlines are consistently achieved.

• Perform any other functions as required by management

Education:

• High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree.

• Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus

• Broader experience/training may be considered in fields such as case management, social services and pharmacy technician.

• Familiarity with verification of insurance benefits a plus.

• Fundamental understanding of key payers including Medicaid, Medicare and private payers

• Strong customer service experience

Anticipated salary range: $ 17.90 - $26.87 USD Annual

Bonus eligible: Yes

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage

• Paid time off plan

• Health savings account (HSA)

• 401k savings plan

• Access to wages before pay day with myFlexPay

• Flexible spending accounts (FSAs)

• Short- and long-term disability coverage

• Work-Life resources

• Paid parental leave

• Healthy lifestyle programs

• Application window anticipated to close: 05/05/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

What is expected of you and others at this level

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments

• In-depth knowledge in technical or specialty area

• Applies advanced skills to resolve complex problems independently

• May modify process to resolve situations

• Works independently within established procedures; may receive general guidance on new assignments

• May provide general guidance or technical assistance to less experienced team members

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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