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CVS Health

Prior Authorization Representative

CVS Health

. Serve as the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base .

Posted 9/21/2026full-timeRemote • United StatesJunior💰 $17 - $26 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in handling Prior Authorization requests, with strong skills in medical terminology and documentation across multiple software systems. Capable of providing excellent customer service in a remote environment while maintaining flexibility in scheduling.

Highest-signal resume keywords
Customer Service ExperienceMedical Terminology RecognitionDocumentation SkillsSoftware NavigationKeyboarding Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Prior Authorization ProcessingMedical TerminologyDocumentationSoftware NavigationKeyboarding
Soft Skills
CommunicationFlexibility
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Call CenterCustomer ServicePharmacyDrug NamesHealthcare

About the role

Key responsibilities & impact
  • Serve as the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base
  • Determine whether complex requests should be transferred to a pharmacist for assistance
  • Maintain complete, timely, and accurate documentation of approvals and denials
  • Document conversations and outcomes across multiple software systems

Requirements

What you’ll need
  • 1 year experience in customer service or call center environment
  • Must be able to work from home
  • High-speed internet
  • Proficiency pronouncing drug names and diagnoses
  • Ability to recognize medical terminology
  • Ability to navigate multiple software systems
  • Keyboarding skills
  • Schedule flexibility, including rotations through nights, weekends, and holidays
  • High School Diploma or equivalent GED

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 (eligible in addition to base pay)