The Senior Technician Prior Auth & Appeals will work a rotating call schedule throughout the day to support Clinical Services Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities
include assisting supervisors with day to day tactical issues, handling escalated calls, training, coaching and other business needs. The ideal candidate will promote a positive working environment and initiates suggestions to continually improve processes; assists supervisors with standardization of procedures, coaching, training, and dissemination of information to staff; act as a subject matter expert in processes, procedures and products; communicate clearly and accurately when interacting with all levels of employees, plan participants, account managers and partners; manage escalated and more advanced Prior Authorization issues when needed; answer questions and recommend corrective action to address complaints; handle special projects and assignments as designated by the supervisor and/or manager.
CPhT, PTCB, Customer Service, Pharmacy Technician, Mail Order, Specialty, CVS, Mail, Insurance Verification, Processing Technician
This is for an evening position. Schedule 12n-8:30pm CST
Must have at least 1 year in CVS Prior Authorization Department Required
TX Pharmacy Technician License Required
Must be able to work evening shift
Superior PC skills in Windows based applications
Excellent verbal and written communication skills
Superior soft skills
Ability to work in a high-paced work environment
Ability to work in a team environment
Requires flexibility to work various shifts between 8 am and 6 pm
Superior PA knowledge with excellent quality
Ability to positively deal with changes and promote a positive work environment
Basic math skills
Ability to maintain confidentiality
Must have excellent attendance & schedule adherence
A verifiable High School diploma/GED and TX Pharmacy Tech license are required.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer.
We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.