Job Description:
• Manage and monitor inbound and outbound authorization work queues
• Receive, review, and process authorization requests and supporting documentation
• Review requests for completeness and identify missing or incomplete information
• Route authorization requests to the appropriate team or department
• Process fax, email, and electronic submissions related to service authorization activities
• Respond to authorization-related inquiries and provide status updates
• Enter and maintain accurate information within authorization and care management systems
• Document actions and maintain required records
• Support administrative and operational workflows related to service authorizations
• Monitor pending requests and assist with follow-up activities
• Maintain productivity, accuracy, and quality standards while managing a high-volume workload
• Assist with special projects, backlog reduction efforts, and operational initiatives
Requirements:
• High School Diploma or GED required
• Strong communication, customer service, and organizational skills
• Ability to work effectively in a fast-paced, high-volume operational environment
• Strong verbal and written communication skills
• Proficiency with Microsoft Office applications and data entry systems
• Ability to prioritize and manage multiple tasks while meeting established deadlines
• Strong attention to detail and commitment to accuracy
• Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred
Benefits:
• CVS Health bonus, commission or short-term incentive program in addition to base pay
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being, based on eligibility