Our Ability Jobs

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 requires working Saturdays and Sundays; shift start varies from 6:30AM CST to 9:30AM CST.

Position Summary

Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.

Additional Responsibilities to include but not limited to the following:

• The Coordinator I Prior Authorizations Operations, Clinical Services role will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Services Supervisor.

• Responsible for reviewing and maintaining compliance with ERISA, CMS, Medicaid, and client specific requirements.

• Works as part of the team to meet business unit objectives.

• Further responsibilities include performing quality reviews and assisting as a subject matter expert (SME).

-Monitors PA communications for printing and IVRs, processes manual IVRs, light outbound call work, researches communication errors and creates cases for resolution

Required Qualifications

• Proficient in Microsoft Office applications (Word and Excel).

• Strong working knowledge of Windows based applications.

• Effective problem solving skills, analytical ability.

• Strong written communication and interpersonal skills with the ability to interpret data.

• Strong data entry skills, with minimum 30-40 WPM.

• Detail oriented with excellent organizational skills.

• Medical / pharmacy terminology background.

Preferred Qualifications

• Superior PC skills in Windows based applications

• Superior CAS Admin skills

• Excellent verbal and written communication skills

• Superior soft skills

Education

High School Diploma or equivalent GED

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

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 Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 09/20/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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.