Prior Authorizations, Technician I
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
CVS Health prior authorization technician handling calls, faxes, and ePA requests from a Georgia home office. Documenting reviews and escalating clinical inquiries to pharmacists.
Responsibilities:
- Take inbound calls from providers, pharmacies, members, and other callers through the criteria-based prior authorization process
- Provide professional and courteous phone assistance
- Maintain complete, timely, and accurate documentation of reviews
- Transfer clinical questions, escalations, and judgment calls to the pharmacist team
- Make outbound calls as needed
- Review and process prior authorizations received via fax and ePA
- Monitor and respond to department mailbox inquiries
- Manage inbound calls, fax requests, and ePA requests according to established standards
- Communicate determination status and results with internal groups, including seniors, pharmacists, and appeals
- Identify and elevate clinical inquiries to the pharmacist team
- Perform additional duties such as faxes, sorting, email boxes, and CAS maintenance
Requirements:
- 6 months of Customer Service/Pharmacy Technician experience
- High School Diploma or equivalent GED
- Basic computer skills
- Knowledge of Microsoft Office Suite, including Excel and Word; Access, Outlook, PowerPoint, and Visio preferable
- Keyboard skills
- Ability to multitask and use multiple system applications simultaneously
- Basic pharmaceutical knowledge of terminology, calculations, and protocols
- Ability to use available resources independently and provide high-quality work
- Ability to absorb information, display motivation, seek development, and problem solve
- Ability to adapt to workflow changes and shifting priorities
- Excellent written, verbal, grammar, and listening communication skills
- Ability to work with a diverse internal and external customer base in a friendly and confident manner
- Ability to maintain confidentiality of PHI (Protected Healthcare Information)
- Regular and predictable attendance
- Willingness to work mandatory overtime/extended work weeks when needed
- Willingness to travel when needed
- Ability to comply with departmental, company, state, and federal requirements
- Ability to effectively manage work volume while handling inbound calls and fax requests
Benefits:
- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
Similar Jobs
Maintenance Technician
Maintenance Technician performing preventive and corrective maintenance for SSM Health facilities, equipment, and life-safety systems in Missouri. Handling plumbing, electrical, carpentry, appliance, and minor construction repairs.
Prior Authorizations Technician I
CVS Health prior authorization technician handling inbound calls, pharmacy reviews, and documentation from a Texas home office. Escalating clinical questions to pharmacists while processing fax and ePA requests.
Prior Authorizations, Technician I
CVS Health prior authorization technician supporting pharmacy and healthcare requests from a Florida home office. Processing calls, faxes, ePA submissions, documentation, and escalations to pharmacists.
Kitchen Equipment Service Technician
Commercial kitchen equipment technician repairing cooking, refrigeration, ware-washing, and HVAC systems for Smart Care. Providing onsite customer service, diagnostics, installations, and emergency support.
Specialty Field Technician
Part-time field technician supporting environmental emergency and hazardous-materials response for Onterris, a global environmental solutions company. Performing air monitoring, sampling, documentation, and site-safety work nationwide.
Field Technician
Field Technician maintaining T-Mobile’s wireless network across Central and Western Nebraska. Providing RAN, backhaul, 5G, troubleshooting, project, and outage support.
Senior Process Technician, Packaging
Senior Process Technician supporting semiconductor packaging for IonQ, a quantum computing platform company. Developing, testing, and improving packaging processes for quantum hardware.
Contracts Technician
Contracts Technician managing Carrier agreements and delegated underwriting authorities for UK-based insurance broker Everywhen. Supporting onboarding, negotiations, compliance, and audits across the Carrier network.
Seasonal Herd Test Technician
Seasonal herd testing technician delivering equipment and collecting samples for LIC, a farmer-owned New Zealand dairy genetics and testing co-operative. Outdoor Hawera role supporting dairy farmers during a nine-month peak season.
Applications Technician – New England States
Applications Technician supporting Haimer, a precision tool-holder manufacturer, through machine troubleshooting, repair, installation, and customer training. Providing remote and field technical support across New England.
Site Technician – Underground Mining Equipment
Remote-site technician diagnosing, repairing, and assembling Caterpillar underground mining equipment for Toromont Cat. Supporting safe operations, service documentation, and customer relations on a 14/14 rotation.
Mobile Service Technician – Heavy Equipment
Mobile heavy-equipment service technician diagnosing and repairing customer machinery for Vermeer Midwest, a family-owned equipment dealership. Serving the Sterling Heights area independently from a company-equipped service truck.
Field Technician
T-Mobile field technician supporting Denver-area wireless network operations. Troubleshooting RAN, backhaul, base stations, and outage recovery across field sites.
Technician Helper
Technician Helper supporting IAG’s inspection, assessment, and maintenance services for energy and industrial clients. Assisting with equipment setup, testing procedures, QA/QC, and safety protocols.
DJ Entertainment Equipment Technician
DJ equipment technician helping Wedgewood Weddings, a growing venue and event company, launch new markets. Installing, maintaining, transporting, and troubleshooting professional audio equipment.
Wind Turbine Technician – Enercon
Enercon wind turbine technician maintaining and troubleshooting turbines across South Wales for Full Circle’s renewable-energy maintenance business. Mentoring technicians and improving turbine performance through operational analysis.
Field Technician
Field Technician maintaining T-Mobile’s wireless network across Western Pennsylvania and Northern West Virginia. Troubleshooting RAN, backhaul, 5G, base-station, and power systems while supporting field projects.
Commercial Service Technician – Floater
Commercial HVAC/R technician maintaining Pilot Company travel centers across the Knoxville region. Installing, troubleshooting, and repairing HVAC, refrigeration, food service, plumbing, fuel, and electrical systems.
Environmental Field Technician – Travel Required
Environmental Field Technician supporting U.S. water infrastructure and water quality investigations for energy and environmental consultancy. Collecting samples, inspecting sites, operating equipment, and reporting field conditions while traveling at least 75%.
Throughput Technician
Throughput Center Technician coordinating nursing staffing and patient placement for Mercy’s healthcare system. Facilitating hospital throughput, resolving staffing issues, and collecting operational data.