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CVS Health Authorization Representative in Jackson, Tennessee

Job Description

Join the Coram/CVS Health team as a Prior Authorization Specialist and you will support the Enteral Nutrition Center by requesting and maintaining timely follow up on authorizations needed for successful reimbursement of claims. Must have excellent written and verbal customer service skills and advanced computer skills in order to interact with Coram branch associates. Strong mathematical skills are required.As a Prior Authorization Specialist you will… Maintain insurance authorizations and billing prescriptions for new and current patients. Work closely with various staff to collect additional information needed to process authorization requests and submit claims. Scan and upload documents from insurance providers into electronic records system and notify appropriate departments. Submit changes to patient prescriptions in the system and obtain authorization for payment.This is a full-time, permanent, benefited position and is NOT through an agency. Typical work hours for this role are Monday – Friday, with shift times that may vary between 8:00AM – 4:30PM with an opportunity for over-time per business need. Challenge your healthcare training or current customer services skills to make a difference in a patient’s life by life by maintaining up to date authorizations for new and current patients ensuring coverage for ongoing treatments. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.Coram CVS/specialty infusion services is a Fortune 7 company and national leader in the home infusion and enteral fields. You have an important, uniquely rewarding role putting your skills and experiences to work supporting an innovative specialty pharmacy operation.

Required Qualifications

  • Minimum year experience working in a customer service or call center environment.* Data entry experience.* Experience working in Microsoft Office, specifically Excel, Outlook and Word.* Typing speed of 50+ WPM (words per minute).

Preferred Qualifications

Experience in a home health/home infusion setting.* Experience work in a healthcare environment.* Experience working with healthcare agencies in an effort to obtain medical authorizations.

Education

High School diploma or GED

Business Overview

At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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