Health Authorization Specialist – In-Home Therapies

Hispanic Alliance for Career Enhancement; California (MO); Hybrid; USD 23,000 - 43,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an Authorization Specialist to join our national team to obtain prior authorizations for in-home specialty therapies and to support patient prescription orders with timely processing.

You will collaborate with Patient Intake Coordinators and insurance providers, ensuring excellent service while navigating insurance benefits and authorization requirements. This full-time role requires residing within commuting distance to one of the listed locations.

Qualifications

• Experience reading benefits from insurance companies.
• Experience with Authorization requests.
• Data entry experience.
• Working knowledge in Microsoft Office, specifically Outlook and Word.

Responsibilities

• Complete and document Authorizations
• Provide information on specialty medications/ home infusion services.
• Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
• Coordinate with the Patient Intake Coordinators for new and existing accounts.
• Investigate type and level of insurance coverage to assess Authorization processing.
• Communicate with medical professionals and insurance company personnel .
• Provide input on self reviews
• Assist less experienced peers
• Perform other duties & responsibilities that are reasonable as assigned by your leaders

Skills

Benefits reading

Authorization requests

Data entry

Outlook

Microsoft Word

Education

High School diploma

Tools

Microsoft Office

Microsoft Outlook

Microsoft Word

Job description

CVS Health is seeking an Authorization Specialist to join our national team to obtain prior authorizations for in-home specialty therapies and to support patient prescription orders with timely processing.

You will collaborate with Patient Intake Coordinators and insurance providers, ensuring excellent service while navigating insurance benefits and authorization requirements. This full-time role requires residing within commuting distance to one of the listed locations.