Clinical Services Representative
| Company | CVS Health |
|---|---|
| Location | Austin, TX, USA |
| Salary | $17 – $28.46 |
| Type | Full-Time |
| Degrees | Bachelor’s, Associate’s |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- Ability to apply basic computer skills.
- Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable.
- Keyboard skills are essential.
- Must be able to multitask and utilize multiple system applications simultaneously.
- Basic pharmaceutical knowledge pertaining to terminology, calculations, and protocols.
Responsibilities
- Takes in-bound calls from providers, pharmacies, and members, providing professional and courteous phone assistance.
- Maintains complete, timely and accurate documentation of reviews.
- Transfers all clinical questions, escalations, and judgement calls to the pharmacist team.
- Assists with outbound calls, reviewing and processing Prior Auth’s received via fax and ePA, monitoring and responding to inquiries via department mailboxes, and other duties as assigned by the leadership team.
Preferred Qualifications
- Prior authorization experience
- Must be able to utilize available resources independently and provide high quality work.
- Must be able to absorb presented information, display motivation, seek development and problem solve.
- Ability to adapt and change with workflow and shifting priorities.
- Must possess excellent written, verbal, grammar, and listening communication skills.
- Must be able to deal with a diverse customer base (internal and external) in a friendly and confident manner.
- Ability to maintain confidentiality of PHI (Protected Healthcare Information).
- Associate Degree or Bachelor’s Degree