Elevance Health is seeking a Benefit Verification Specialist to verify member eligibility, coverage, and benefit details across medical, pharmacy, and behavioral health services. In this role, you will respond to provider and member inquiries, confirm benefits with internal systems and payors, and support accurate, timely claims and prior authorizations. You will research discrepancies, document outcomes, and escalate complex issues. Working in a mission-driven, inclusive culture, you'll collaborate with cross-functional teams, use multiple systems, and help simplify healthcare for members nationwide while growing your skills and career. Responsibilities Verify member eligibility, coverage, and benefits using internal systems and payer portals Respond to provider and member inquiries regarding benefits, copays, and coverage limits Support accurate and timely processing of claims, referrals, and prior authorizations Research and resolve benefit discrepancies, documenting actions and outcomes thoroughly Collaborate with internal teams to address complex benefit or authorization issues Maintain high accuracy and productivity while handling calls and system work queues Protect member privacy and follow all HIPAA and Elevance Health compliance standards Contribute to process improvements and share insights to enhance member and provider experience Required Skills Benefits verification Health insurance terminology Medical billing and claims processing Eligibility and authorization processing EMR/practice management systems Data entry and accuracy HIPAA compliance knowledge Call handling and customer service Microsoft Office/Excel Prior authorization workflows