Prior Authorization Representative

Are you a detail-oriented individual looking to make an impact in the healthcare industry? CVS Health is currently seeking an experienced Prior Authorization Representative to join our dedicated team. In this position, you will be responsible for accurately obtaining and verifying prior authorization requests to ensure members have access to the medications they need. The ideal candidate will have strong problem-solving skills and a desire to learn new concepts quickly. If this sounds like the perfect role for you, we’d love to hear from you!

Responsibilities: -Conduct detailed research to accurately assess prior authorization requests -Verify insurance eligibility and coverage for prior authorization requests -Obtain and submit appropriate documentation for prior authorization requests -Examine and interpret medical records to ensure accuracy -Maintain accurate records of prior authorization requests -Follow up on requests to ensure timely completion -Stay up to date on the latest changes to healthcare policies and regulations -Proactively identify areas of improvement to streamline processes -Provide excellent customer service to members, healthcare providers, and other stakeholders -Answer inquiries in a timely and professional manner

According to JobzMall, the average salary range for a Prior Authorization Representative is $36,000 to $50,000. This range can vary depending on the employer, experience, and other factors.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.