Authorization Specialist

Authorization Specialist

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 to obtain 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 will require 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.

Key Responsibilities:

• Complete and document Authorizations
• Provides 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

Required Qualifications:

• Experience reading benefits from insurance companies
• Experience with Authorization requests
• Data entry experience.
• Working knowledge in Microsoft Office, specifically Outlook and Word.

Preferred Qualifications:

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

Verifiable High School diploma or GED is required

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: The typical pay range for this role is: $17.00 - $31.30. This pay range represents the base hourly rate or base annual full-time salary 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. The benefits for this position include 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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.