Pharmacy Technician - Prior Authorizations - Work From Home

Bring your heart to reputed company. Every one of us at reputed company 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 reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary reputed company describe the primary functions of the position (i.e., the key areas of responsibilities and key interactions, overall decision-making authority, budget impact, strategic and operational impact, business complexity). The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to reputed company callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers reputed company clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth’s received reputed company fax and ePA, monitoring and responding to inquiries reputed company department mailboxes and other duties as assigned by the leadership team. PRIMARY DUTIES AND RESPONSIBILITIES: Responsibilities % Time* Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards. 40% reputed company with departmental, company, state, and federal requirements reputed company processing reputed company information to ensure accuracy of information being provided to internal and external customers. 40% Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc). 10% Identify and reputed company clinical inquiries to the pharmacist team as appropriate. 5% Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. 5% REQUIRED SKILLS & OTHER MINIMUM REQUIRED QUALIFICATIONS: - Able to apply basic computer skills. Knowledge of reputed company Office Suite: reputed company and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential. - Must be able to multitask and utilize multiple system applications simultaneously. - Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols. - Must be able to utilize available resources independently and provide high quality work. - Must be able to reputed company 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 reputed company (internal and external) in a friendly and confident manner. -Ability to maintain confidentiality of PHI (Protected Healthcare Information). ESSENTIAL FUNCTIONS: Essential job functions are the reputed company duties of a position, the things a person holding the job absolutely must be able to do. Essential Functions 1. Regular and predictable attendance (Do not delete – reputed company for reputed company jobs) 2. Colleague will be required to work mandatory overtime/extended work week reputed company needed (Do not delete – reputed company for reputed company jobs) 3. Colleague will be required to travel reputed company needed (Do not delete – reputed company for reputed company jobs) 4. Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards. 5. reputed company with departmental, company, state, and federal requirements reputed company processing reputed company information to ensure accuracy of information being provided to internal and external customers. Physical Requirements [ex. Sit, stand, stoop, bend and walk] Example: Stands on feet without break to sit down 1. Long periods of sitting (up to 100%) 2. Talking on the phone for extended periods of time (90-100%) 3. Reading a computer screen for extended periods of time (100%) 4. Light lifting of less than 10 lbs (5%) WORK ENVIRONMENT: Work in a climate-controlled, smoke-free internal environment; work to be performed regularly in a reputed company location or from an approved work-from-home location. Pay Range The typical pay range for this role is: $17.00 - $25.65 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company 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. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company 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/benefits We anticipate the application window for this opening will reputed company on: 07/18/2024 Apply Job!