Healthcare Coordination & Authorization Specialist

CVS Health; California; Hybrid; USD 23,000 - 43,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a detail-oriented professional to coordinate medical services intake, screening, and referrals. You will utilize Aetna systems to verify eligibility and benefits, ensuring accurate documentation and compliance with risk management standards.

Ideal candidates have 1–2 years of medical assistant or clinical support experience, with preference for call center and prior authorization exposure. This full-time role offers comprehensive benefits and opportunities for growth.

Qualifications

• 1-2 years' experience working as a medical assistant, office assistant or other clinical/equivalent experience.
• Call center experience is preferred, 1-2 years
• Prior authorization experience, 1-2 years

Responsibilities

• Coordinate intake, screening, and referrals for medical services.
• Perform eligibility, COB, and benefits verification.
• Use Aetna systems (MedCompass, QNXT, ProFAX, ProPAT) to process transactions.
• Maintain documentation meeting regulatory and risk management requirements.
• Communicate with providers, plan sponsors, and members to support medical management.

Skills

Medical assistant experience

Call center experience

Prior authorization experience

Education

Associates degree (preferred)

High School Diploma / GED

Job description

CVS Health is seeking a detail-oriented professional to coordinate medical services intake, screening, and referrals. You will utilize Aetna systems to verify eligibility and benefits, ensuring accurate documentation and compliance with risk management standards.

Ideal candidates have 1–2 years of medical assistant or clinical support experience, with preference for call center and prior authorization exposure. This full-time role offers comprehensive benefits and opportunities for growth.