Pharmacy Technician - Prior Auth & Appeals at Honolulu

Job Description

The CVS team consists of more than 140,000 dedicated people working in our stores, regional offices, distribution centers, and headquarters in Woonsocket, Rhode Island. The first CVS store opened under the name "Consumer Value Store." Since then, we have become more popularly known as CVS, but our focus on providing value to our customers has remained our hallmark.

Position Summary

The prior auth technician,(CPhT) takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgement calls to the pharmacist.

Required Qualifications

Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers).Ability to work in team environment and requires availability to work various shifts. Must be flexible, organized and have excellent communication skills (oral, written, grammar, listening).PC skills in Windows-based applications required. Ability to learn new operating systems and new communication strategies. Basic math skills required (addition, subtraction, multiplication, division)Ability to maintain confidentiality

Preferred Qualifications

At least 1 year experience in customer service or call center environment. Previous experience in Pharmacy or healthcare industry preferred.

Education

Verifiable High School diploma or GED is required. Certified Pharmacy Technician preferred. Must attain National Certification within 6 months of hire.

Clinical Licensure Required

Pharmacy Technician

Business Overview

CVS Caremark, 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 nations 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.

Work Environment

Pharmacy - Specialty Pharmacy

CVS offers a competitive benefit package including:Stock Option Award Program (select employees) CVS Future Fund - 401(K) & ESOP Employee Stock Purchase Plan (ESPP) Comprehensive pre-tax medical insurance Prescription Coverage Short- and Long- term disability insurance Medical and personal leave Domestic partner benefits Life Insurance-Company-paid program Supplemental Supplemental dependent Dental Insurance Vision discount plan Adoption assistance Business travel insurance Auto and Home insurance discount plans Professional liability insurance (Pharmacists) Dependent care reimbursement account Education assistance Performance-based incentive plan Service recognition Paid vacations and holidays Merchandise discount

Job Requirements

 
Country: USA, State: Hawaii, City: Honolulu, Company: CVS Caremark.