Job Description:
• Serve as the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base
• Determine whether complex requests should be transferred to a pharmacist for assistance
• Maintain complete, timely, and accurate documentation of approvals and denials
• Document conversations and outcomes across multiple software systems
Requirements:
• 1 year experience in customer service or call center environment
• Must be able to work from home
• High-speed internet
• Proficiency pronouncing drug names and diagnoses
• Ability to recognize medical terminology
• Ability to navigate multiple software systems
• Keyboarding skills
• Schedule flexibility, including rotations through nights, weekends, and holidays
• High School Diploma or equivalent GED
Benefits:
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being
• CVS Health bonus, commission or short-term incentive program (eligible in addition to base pay)