[Hiring] Representative I - Prior Authorizations @CVS Health
Role Description The Representative I, Prior Authorizations is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. • Proficiency in pronouncing drug names and diagnoses. • Recognizing medical terminology. • Navigating multiple software systems to document conversations and outcomes. • Schedule flexibility including rotations through nights, weekends, and holiday coverage. Qualifications • 1 plus years' experience in customer service or call center environment. • Must be able to work from home. • Have high-speed internet. Requirements • Previous experience in pharmacy or healthcare industry (preferred). • Associate's or Bachelor's Degree (preferred). • Pharmacy Technician License (preferred). • Verifiable High School Diploma or equivalent GED. Benefits • Medical, dental, and vision coverage. • Paid time off. • Retirement savings options. • Wellness programs. • Other resources, based on eligibility. Apply To this Job