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Pharmacy Technician – Prior Authorization
CVS Health. Take 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 proficiency in customer service and pharmacy technician responsibilities, including effective communication, documentation, and adherence to healthcare regulations. Capable of managing multiple tasks and utilizing various software applications to support the prior authorization process.
Highest-signal resume keywords
Customer Service ExperiencePharmacy Technician ExperienceMicrosoft Office Suite KnowledgeBasic Pharmaceutical KnowledgeExcellent Communication Skills
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 ProcessingDocumentation ManagementPharmaceutical TerminologyKeyboard SkillsMultitasking Abilities
Soft Skills
Problem SolvingAdaptabilityMotivationConfidentiality MaintenanceFriendly Customer Interaction
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft OutlookMicrosoft PowerPointMicrosoft Visio
Industry Keywords
Protected Healthcare InformationInbound CallsOutbound CallsClinical InquiriesDepartment Mailboxes
About the role
Key responsibilities & impact- Take inbound calls from providers, pharmacies, members, and other callers
- Provide professional and courteous phone assistance through the criteria-based prior authorization process
- Maintain complete, timely, and accurate documentation of reviews
- Transfer clinical questions, escalations, and judgment calls to the pharmacist team
- Make outbound calls as needed
- Review and process prior authorizations received via fax and ePA
- Monitor and respond to inquiries via department mailboxes
- Communicate with internal groups regarding determination status and results
- Identify and elevate clinical inquiries to the pharmacist team
- Perform other assigned duties, including faxes, sorting, email boxes, and CAS maintenance
Requirements
What you’ll need- 6+ months of Customer Service/Pharmacy Technician Experience
- Regular and predictable attendance
- Willingness to work mandatory overtime/extended work week when needed
- Willingness to travel when needed
- Basic computer skills
- Microsoft Office Suite knowledge, including Excel and Word; Access, Outlook, PowerPoint, and Visio preferable
- Essential keyboard skills
- Ability to multitask and utilize multiple system applications simultaneously
- Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols
- Ability to utilize available resources independently and provide high quality work
- Ability to absorb presented information, display motivation, seek development, and problem solve
- Ability to adapt and change with workflow and shifting priorities
- Excellent written, verbal, grammar, and listening communication skills
- Ability to deal with a diverse customer base in a friendly and confident manner
- Ability to maintain confidentiality of PHI (Protected Healthcare Information)
- Ability to comply with departmental, company, state, and federal requirements
- Ability to effectively manage work volume by handling inbound calls/fax requests using established standards
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility