Job DescriptionThis is an exciting opportunity for Pharmacy Technicians to excel in a fast paced, customer service driven environment while having the opportunity to develop and strengthen technical skills and pharmacology knowledge. Our Prior Authorization & Appeals Pharmacy Technicians takes in-bound calls from members, providers, etc. Our Pharmacy Technicians provide professional phone assistance to all callers through the criteria based prior authorization process. Our ideal Pharmacy Technician is national certified and maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. Our Pharmacy Technicians will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team. (Medicaid) Duties and Responsibilities: * Effectively manage work volume by handling inbound calls/fax requests utilizing appropriate courteous and professional behavior based upon established standards * Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers * Sort incoming faxes in compliance with departmental and client requirements * Communicate with Account Teams and other internal partners for timely resolution of appeals/exceptions. (Medicaid)*Other duties assigned AMNHC#pharmtechtalentRequired QualificationsAt least 1 year of previous customer service experience
Preferred Qualifications* 1 year experience of Call center or Member Services experience* 1-year healthcare industry related experience (hospital, managed care, physician office, PBM etc)* CPhT registeredEducation HS Diploma or GED required.
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/