Authorization Specialist

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

About the role

Coram/CVS Health is looking for a high-energy healthcare professional to join our National team as an Authorization Specialist! This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to obtain authorization for in-home Specialty therapies for Coram's patients. We believe that Authorization Specialists are a key part of creating a positive experience for our patients.

In this dynamic and fast-paced role, you will be responsible for obtaining prior authorization for both new and existing patients in order to process patient prescription orders in a timely manner while demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers. This role requires an understanding of insurance carriers and concepts including pharmacy benefits, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.

Responsibilities

• Complete and document authorizations.
• Provide information on specialty medications/home infusion services.
• Comply with and adhere to all regulatory compliance areas, policies, and procedures, and "best practices."
• Coordinate with the Patient Intake Coordinators for new and existing accounts.
• Investigate type and level of insurance coverage to assess authorization processing.
• Communicate with medical professionals and insurance company personnel.
• Provide input on self-reviews.
• Assist less experienced peers.
• Perform other duties & responsibilities that are reasonable as assigned by your leaders.

Requirements

• Experience reading benefits from insurance companies.
• Experience with authorization requests.
• Data entry experience.
• Working knowledge in Microsoft Office, specifically Outlook and Word.
• Verifiable High School diploma or GED is required.

Preferred Qualifications

• Home infusion or durable medical equipment (DME) experience.
• Experience working in a healthcare environment.
• Experience working with healthcare insurance.

Schedule

Monday - Friday | 8:30am - 5pm CST or 9am - 5:30pm CST

Anticipated weekly hours: 40

Time type: Full time

Pay

The typical pay range for this role is $17.00 - $31.30 per hour. This pay range represents the base hourly rate 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.

Benefits

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Candidates must live within a commutable distance (within 60 minutes) to one of the following locations:

• Malvern, PA (6 Spring Mill Drive)
• Mendota Heights, MN (2345 Waters Drive)
• San Diego, CA (12310 World Trade Drive)