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CVS / Caremark
Pharmacy Technician Tech I Prior Auth & Appeals
San Antonio, TX United States
The Tech I Prior Auth & Appeals, Exchanges (CPht registered with the appropriate State Board of Pharmacy) takes in-bound 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.
Preferred: Minimum of 1-2 years of Call Center or Member Services experience or 2 years of healthcare industry related experience (hospital,managed care, physician office, PBM, etc).
Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers). Excellent communication skills (oral, written, grammar, listening). Ability to maintain confidentiality of information. PC Windows experience required. Basic math skills required (addition, subtraction, multiplication, division).
Verifiable High School diploma or GED is required. Certified Pharmacy Technician preferred. Must attain National Certification within 6 months of hire.
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 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.
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