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Customer Service Representative
CVS Health Careers. Handle inbound calls from providers, pharmacies, members, and other callers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in handling inbound and outbound calls while providing high-quality customer service in a remote environment. Proficient in processing prior authorizations and navigating multiple systems to support pharmacy operations.
Highest-signal resume keywords
Customer Service ExperiencePrior Authorization ProcessingMicrosoft Office ProficiencyArizona Pharmacy Technician LicensePTCB Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization ProcessingCustomer ServiceKeyboard SkillsGoogle Suite SkillsWindows-Based ApplicationsEmail ApplicationsInternet NavigationPharmaceutical KnowledgeProblem SolvingMultitasking
Soft Skills
Professional CommunicationMotivationDependabilityAdaptabilityTeam Collaboration
Tools & Technologies
Microsoft OfficeGoogle SuiteEPA SystemsRemote Training PlatformsDepartmental Mailboxes
Certifications & Qualifications
Arizona Pharmacy Technician LicensePTCB CertificationNHA Certification
Industry Keywords
PharmacyHealthcarePrior AuthorizationRetail PharmacyMedical Office
About the role
Key responsibilities & impact- Handle inbound calls from providers, pharmacies, members, and other callers
- Provide professional and courteous phone assistance through the criteria-based prior authorization process
- Handle inbound calls, fax, and electronic prior authorization requests
- Make outbound calls as needed
- Review and process prior authorizations for members’ prescriptions received via fax and ePA
- Monitor and respond to inquiries through department mailboxes
- Comply with departmental, company, and federal requirements when processing information
- Communicate with internal groups regarding determination status and results
- Identify and elevate clinical inquiries to the pharmacist team
- Support additional tasks assigned by the leadership team
- Complete five weeks of remote classroom-style training
- Progress through structured Prior Authorization team levels by widening knowledge, taking on responsibility, and demonstrating expertise
Requirements
What you’ll need- One year of Customer Service experience handling and resolving a high volume of complex customer needs over the phone
- Demonstrated ability to deliver high-quality customer service
- Proficient PC skills and computer literacy
- Basic Google Suite skills
- Windows-based applications, Microsoft Office, internet navigation, and email applications
- Strong keyboard skills
- Ability to multitask and utilize multiple system applications simultaneously
- Ability to deliver confident and professional service to providers and internal partners
- Ability to absorb presented information, display motivation, seek development, and problem solve
- High School Diploma or GED equivalent
- Prior remote work experience
- Ability to obtain high-speed internet and hardwire equipment to router/modem
- Distraction-free and private remote work environment
- Reliable dependent care during working hours
- Ability to provide own transportation when on-site support is required for employees located within 50 miles of a physical CVS Caremark location/center
- Ability to participate in classroom-style remote training sessions
- Availability for a 40-hour schedule anytime Monday–Sunday between 8am–9pm EST
- 100% attendance required during five-week training, Monday–Friday 7:00am–3:30pm MST
- Preferred: Active Arizona Pharmacy Technician License or Registered/Licensed Pharmacy Technician Trainee
- Preferred: Valid/Active PTCB Certification or NHA Certification
- Preferred: Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
- Preferred: Experience in a retail, hospital, medical office, or pharmacy setting
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- Opportunity to earn a Certified Pharmacy Technician Certificate through an apprenticeship program
- Career development and progression opportunities