Prior Authorization Representative

Job not on LinkedIn

🔥 18 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 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

• Initial point of contact for Prior Authorization requests from members, providers, and diverse customer base • Make determination if complex request should be transferred to a pharmacist for assistance • Maintain complete, timely, and accurate documentation of all approvals and denials • Proficiency pronouncing drug names and diagnosis and recognizing medical terminology • Navigate multiple software systems to document conversations and outcomes • Schedule flexibility including rotations through nights, weekends and holiday coverage

🎯 Requirements

• 1 plus years' experience in customer service or call center environment • Must be able to work from home • Have high speed internet • Previous experience in pharmacy or healthcare industry • Associate's or Bachelor's Degree • Pharmacy Technician License • High School Diploma or equivalent GED

🏖️ Benefits

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