Prior Authorization Appeals Coordinator

CVS Health Richardson , TX 75080

Posted 2 months ago

Job Description:

The Clinical Services Coordinator will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Supervisor. Responsible for reviewing and maintaining

compliance with ERISA, CMS, Medicaid, and client specific requirements. Works as part of the team to meet business unit objectives.

Required Qualifications

HS Diploma or GED required

Preferred Qualifications

Minimum of 1 year experience in Data Entry. Preferred: 1-year healthcare industry related experience (hospital, managed care, physician office, PBM etc).Proficient in Windows applications (Word and Excel). Problem solving skills, analytical ability.

Strong written communication and interpersonal skills. Minimum 25-30 WPM. Detail oriented with excellent organizational skills.

Preferred knowledge of prescription drug products, dosage forms and usage. Medical / pharmacy terminology background.

Education

HS Diploma or GED required

Business Overview

It's a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran we highly value and are committed to all forms of diversity in the workplace.

We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT.

We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.



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Prior Authorization Appeals Coordinator

CVS Health