Pharmacy Technician, Prior Authorizations

Job not on LinkedIn

🕒 4 days ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Takes in-bound calls from providers, pharmacies, members, etc. providing professional and courteous phone assistance • Maintains complete, timely and accurate documentation of reviews • Transfers all clinical questions, escalations and judgement calls to the pharmacist team • Assists with outbound calls, reviewing and processing Prior Auths received via fax and ePA • Monitors and responds to inquiries via department mailboxes • Enters prior authorization requests ensuring all required documentation is complete and accurate • Verifies insurance coverage and assesses medical necessity of requested services or treatments • Assists in preparation and submission of appeals for denied requests • Documents relevant information into electronic systems • Communicates with team members and supervisors to identify process inefficiencies

🎯 Requirements

• 6 plus months of Customer Service/Pharmacy Technician Experience • Able to apply basic computer skills • Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio Preferable • Keyboard skills essential • Regular and predictable attendance • Colleague will be required to work mandatory overtime/extended work week when needed • Colleague will be required to travel when needed • Effectively manage work volume by handling inbound calls/fax request utilizing appropriate courteous and professional behavior based upon established standards • Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility