Coordinator - Prior Authorization

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand ? with heart at its center ? our purpose sends a personal message that how we deliver our services is just as important... as what we deliver.Our Heart At Work Behaviors? support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary
• Position requires working Saturdays and Sundays; shift start varies from 6:30AM CST to 9:30AM CST.
• The Coordinator I Prior Authorizations Operations, Clinical Services role will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Services 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.
• Further responsibilities include performing quality reviews and assisting as a subject matter expert (SME).
• Monitors PA communications for printing and IVRs, processes manual IVRs, light outbound call work, researches communication errors and creates cases for resolution
Required Qualifications
• Proficient in Microsoft Office applications (Word and Excel).
• Strong working knowledge of Windows based applications.
• Effective problem solving skills, analytical ability.
• Strong written communication and interpersonal skills with the ability to interpret data.
• Strong data entry skills, with minimum 30-40 WPM.
• Detail oriented with excellent organizational skills.
• Medical / pharmacy terminology background.
Preferred Qualifications
• Superior PC skills in Windows based applications
• Superior CAS Admin skills
• Excellent verbal and written communication skills
• Superior soft skills
• Able to work in a high-paced, team-oriented environment
• Ability to positively deal with changes and promote a positive work environment
• Advanced Math skills
• Candidate must have the ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers)
• Flexibility to work various shifts.
EducationHigh School Diploma or equivalentPay RangeThe typical pay range for this role is:$17.00 - $28.45This 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.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company?s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (?PTO?) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefitsCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution

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