Pharmacy Technician - Prior Authorization and Appeals

Job Description
As a Pharmacy Technician I - Prior Authorization, you will be responsible for supporting the processes involved with entering prior authorizations for CVS Health contracted clients. The Pharmacy Technician is essential to ensuring non-clinical activities and functions are within accordance with policies and procedures under the supervision of the PA Supervisor, PA Manager, and Director of Clinical Operations. The Pharmacy Technician position is responsible for taking in-coming calls from members and providers, providing professional phone assistance to all callers through the criteria based prior authorization process.
As part of the Pharmacy Technician I - Prior Authorization team, you will have an important, uniquely rewarding role putting your Pharmacy Technician skills and experiences to work in a front-end setting. CVS is a national leader in pharmaceuticals, and you will be leading an innovative and bold initiative aimed at transforming health care and pharmacy leveraging new and emerging information technologies and channels.

Additional responsibilities of the Pharmacy Technician I - Prior Authorization include:
- Maintain complete, timely, and accurate documentation of all approvals and denials
- Transfer all clinical questions and judgment calls to the pharmacist
- Knowledge of prescription drug products, dosage forms, and usages
- Strong written communication skills and interpersonal skills
- Detail oriented with excellent organizational skills


CPhT, PTCB, Customer Service, Pharmacy Technician, prior authorizations, CVS, Insurance Verification, Processing Technician

AMNHC
#pharmtechtalent

Required Qualifications
Current pharmacy technician registration with the Texas Board of Pharmacy license is required
At minimum, 3 months prior pharmacy technician experience

Preferred Qualifications
Call center or member services experience preferred
Candidate must have the ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers)
Excellent communication skills (oral, written, grammar, listening)
PC Windows experience required
Basic math skills required (addition, subtraction, multiplication, division)
Ability to maintain confidentiality

Education
Verifiable High School diploma or GED is required

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

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