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CVS Health Authorization Representative in Sacramento, California

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position SummaryCoram/CVS is looking for a high energy health professional to join our national team as an Authorizations Rep. This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and Insurance Providers to secure for In-Home IV Therapy for Coram/CVS specialty infusion patients. We believe that an Authorizations Rep plays a key role in creating a positive experience for our patients. In this dynamic and fast paced role, you will be responsible for obtaining authorizations for both our new, and existing patients. This will allow us to process timely prescription orders, while demonstrating exceptional customer service to our referrals, insurance carriers and patients. This role will require an understanding of insurance carriers and concepts including drug cards, major medical benefits, and per diem coverage as well as knowledge of government and patient assistance programs. This is a full-time benefited position and is NOT through an agency. Typical hours are Monday to Friday between 9:30AM-6:00PM PST. A Saturday rotation may be expected. OT may be required per business need. With Coram/CVS Health, you'll have an exciting opportunity to utilize your healthcare and customer service experience with a team who are passionate about making a difference in patient’s lives. You can have an impact by providing the best care, education, and support to our patients, improving their overall quality of life! Coram/CVS Health is a Fortune 5 company and national leader in the home infusion and enteral nutrition fields. The word “Coram” derives from the Latin word “cor,” meaning “heart”... and our dedication to our customers is truly from the heart. Do you want to learn more? Check out the videos below! https://www.youtube.com/user/CoramHealthcare or https://www.youtube.com/user/CVSPharmacyVideos Required Qualifications* Minimum 1 year of experience working in a healthcare environment

  • Previous experience working with prior authorizations

  • Analytical and problem solving skills

  • Attention to detail and multi-tasking skills

  • Experience working in Microsoft Office, specifically Excel, Word and OutlookPreferred Qualifications* Knowledge of Medicare, Medicaid, and Third Party Vendors

  • Pharmacy, PBM, or Specialty Pharmacy experience* Experience working with healthcare insurance verification

  • Previous experience with medical billing procedures

Education

High School Diploma or GED

Pay Range

The typical pay range for this role is:

$17.00 - $29.88

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/02/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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