Prior Authorization Representative

2 weeks ago


Raleigh, North Carolina, United States CVS Health Full time
Job Summary

We are seeking a skilled Prior Authorization Representative to join our team at CVS Health. As a key member of our team, you will be responsible for handling Prior Authorization requests from members, providers, and customers.

Key Responsibilities
  • Make determinations on complex requests for Prior Authorization
  • Maintain accurate and timely documentation of approvals and denials
  • Utilize multiple software systems to document conversations and outcomes
  • Provide exceptional customer service and support
Requirements
  • 1+ years of experience in customer service or call center environment
  • Ability to work from home
  • High-speed internet access
  • Proficiency in pronouncing drug names and diagnosis
  • Knowledge of medical terminology
Preferred Qualifications
  • Previous experience in pharmacy or healthcare industry
  • Associate's or Bachelor's Degree
  • Pharmacy Technician License
What We Offer

At CVS Health, we offer a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.



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