[Hiring] Technician I, Prior Authorizations @CVS Health

Role Description

The Technician I, Prior Authorizations takes in-bound calls from providers, pharmacies, members, etc., providing professional and courteous phone assistance to all callers through the criteria-based prior authorization process. Maintains complete, timely, and accurate documentation of reviews. Transfers all clinical questions, escalations, and judgment calls to the pharmacist team.

• Assist with other duties as needed, including but not limited to:
• Outbound calls
• Reviewing and processing Prior Auths received via fax and ePA
• Monitoring and responding to inquiries via department mailboxes
• Other duties as assigned by the leadership team

Qualifications

• Able to apply basic computer skills
• Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable
• Keyboard skills essential
• Must be able to multitask and utilize multiple system applications simultaneously
• Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
• Must be able to utilize available resources independently and provide high-quality work
• Must be able to absorb presented information, display motivation, seek development, and problem solve
• Ability to adapt and change with workflow and shifting priorities
• Must possess excellent written, verbal, grammar, and listening communication skills
• Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner
• Ability to maintain confidentiality of PHI (Protected Healthcare Information)

Requirements

• Associate Degree or Bachelor’s Degree; if neither degree held, then equivalent years of work experience
• High School Diploma or equivalent GED

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources, based on eligibility