Welcome to Jobsnearme.fresherhiring.in We provide job seekers with information gathered from various publicly available job posting websites, including but not limited to Google, Indeed, LinkedIn, and other well-known job platforms. Our mission is to help individuals find employment opportunities by offering up-to-date job listings and career-related resources. We do not charge any fees for accessing or using our website, and all job information is provided free of charge.
Jobsnearme.fresherhiring.in does not directly offer, manage, or engage in the hiring process for any of the job listings featured on our website. All listings are sourced from third-party job posting platforms such as Indeed, LinkedIn, and other recognized job websites.
By using our website, you acknowledge and accept the above terms and conditions. Thank you for visiting Jobsnearme.fresherhiring.in, and we wish you success in your job search.
[Hiring] Pharmacy Technician-Prior Authorization @CVS Health
Other Jobs To Apply
No other job posts for this day.
Role Description
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc., providing professional and courteous phone assistance to all callers through the criteria-based prior authorization process. Maintains complete, timely, and accurate documentation of reviews. Transfers all clinical questions, escalations, and judgment calls to the pharmacist team.
Assist with outbound calls, reviewing and processing Prior Auths received via fax and ePA.
Monitor and respond to inquiries via department mailboxes.
Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
Communicate with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.).
Identify and elevate clinical inquiries to the pharmacist team as appropriate.
Other duties assigned, for example, faxes, sorting, email boxes, CAS maintenance, etc.
Qualifications
6 months experience in customer service or call center environment.
Must be able to work from home; this is a 100% work from home position.
Have wired high-speed internet.
Able to apply basic computer skills; knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable.
Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
Requirements
Must be able to multitask and utilize multiple system applications simultaneously.
Must be able to utilize available resources independently and provide high-quality work.
Must be able to absorb presented information, display motivation, seek development, and problem solve.
Ability to adapt and change with workflow and shifting priorities.
Must possess excellent written, verbal, grammar, and listening communication skills.
Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
Ability to maintain confidentiality of PHI (Protected Healthcare Information).
Education
High School Diploma or equivalent GED.
Pay Range
The typical pay range for this role is: $17.00 - $31.30. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.
Benefits
Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
Medical, dental, and vision coverage.
Paid time off.
Retirement savings options.
Wellness programs and other resources, based on eligibility.
