Prior Authorization Specialist I

CVS Health; Austin (TX); On-site; USD 23,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental & Vision coverage

Retirement savings plan

Paid time off

Job summary

CVS Health is seeking a Tech I Prior Auth to handle inbound calls from providers, pharmacies, and members, delivering professional phone assistance through the prior authorization process and maintaining accurate documentation. The role also supports outbound calls, fax processing, and email inquiries, with escalation to pharmacists as needed.

The position operates in a home-office environment with a 40-hour work week, requiring strong MS Office skills and the ability to multitask across

Qualifications

• 6 months of Customer Service/Pharmacy Technician Experience.
• 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 requests using established standards.

Responsibilities

• Effectively manage work volume by handling inbound calls/fax/ePA requests 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.
• Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
• Identify and elevate clinical inquiries to the pharmacist team as appropriate.
• Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc.

Skills

Excel

Word

Outlook

PowerPoint

Visio

Multitasking

Pharmaceutical knowledge

PHI confidentiality

Communication skills

Keyboard skills

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

CVS Health is seeking a Tech I Prior Auth to handle inbound calls from providers, pharmacies, and members, delivering professional phone assistance through the prior authorization process and maintaining accurate documentation. The role also supports outbound calls, fax processing, and email inquiries, with escalation to pharmacists as needed.

The position operates in a home-office environment with a 40-hour work week, requiring strong MS Office skills and the ability to multitask across