Remote Prior Authorization Specialist

CVS Health Corporation; Louisiana (MO); Hybrid; USD 23,000 - 34,000; Full time

Job summary

CVS Health is seeking a Representative I to be the initial contact for Prior Authorization requests from members, providers, and a diverse customer base. You will determine if a complex request should be transferred to a pharmacist and ensure timely, accurate documentation of all approvals and denials.

Strong attention to detail and patient focus are essential. The role requires proficiency with drug names and medical terminology and the ability to navigate multiple software systems to document

Qualifications

• 1 year experience in customer service or call center environment.
• Must be able to work from home.
• Have high speed internet.

Responsibilities

• Initial point of contact for Prior Authorization requests and document outcomes.
• Determine when to transfer complex requests to a pharmacist and maintain complete documentation.
• Navigate multiple software systems and support flexible schedule including nights, weekends and holidays.

Skills

Customer service

Remote work

Communication

Education

High School Diploma or GED

Job description

CVS Health is seeking a Representative I to be the initial contact for Prior Authorization requests from members, providers, and a diverse customer base. You will determine if a complex request should be transferred to a pharmacist and ensure timely, accurate documentation of all approvals and denials.

Strong attention to detail and patient focus are essential. The role requires proficiency with drug names and medical terminology and the ability to navigate multiple software systems to document