Prior Authorization Technician, Operations – Care Delivery

CVS Pharmacy; Connecticut; On-site; USD 23,000 - 47,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings options

Job summary

CVS Pharmacy in Connecticut is seeking a Technician I, Prior Authorizations to handle inbound calls from providers, pharmacies, and members, performing eligibility reviews and documenting findings.

You will transfer complex questions to the pharmacist team and assist with outbound calls, reviewing and processing Prior Authorizations received via fax and ePA, while maintaining confidentiality and accuracy.

Qualifications

• Basic computer skills with MS Office; Excel/Word required.
• Ability to multitask and use multiple system applications.
• Pharmaceutical terminology and calculations knowledge.
• Strong written, verbal, and listening communication.
• Ability to maintain PHI confidentiality.

Responsibilities

• Handle inbound calls from providers, pharmacies, and members.
• Provide professional, courteous assistance through prior authorization process.
• Document reviews timely and accurately; escalate to pharmacists as needed.
• Assist with outbound calls and processing Prior Auths via fax/ePA.

Skills

Microsoft Excel

Microsoft Word

Microsoft Access

Microsoft Outlook

Microsoft PowerPoint

Microsoft Visio

Keyboarding

Healthy multitasking

Education

High School Diploma or GED

Associate Degree or Bachelor’s Degree (preferred)

Job description

CVS Pharmacy in Connecticut is seeking a Technician I, Prior Authorizations to handle inbound calls from providers, pharmacies, and members, performing eligibility reviews and documenting findings.

You will transfer complex questions to the pharmacist team and assist with outbound calls, reviewing and processing Prior Authorizations received via fax and ePA, while maintaining confidentiality and accuracy.