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    Prior Authorization and Benefits Specialist - Atlanta, United States - A-Line Staffing Solutions

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    Description

    Job Title:

    Prior Authorization and Benefits SpecialistPay:
    $17.

    50 an hr | Bi-weeklyJob Type:

    RemoteShift Options:
    Hours: Mon-Fri 7AM-8:30PM CST


    Training hours:
    Mon-Fri 8AM-4:30PM CST for 4 weeks.

    Prior Authorization and Benefits Specialist Overview:

    The Commercial PA Representative I will work closely with providers to process prior authorization PA and drug benefit exception requests on behalf of CVS Health as the client and in accordance with Medicare Part D CMS Regulations.

    Must apply information [provided through multiple channels] to the plan criteria defined through work instruction.

    Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.

    Responsible for research and correction of any issues found in the overall process.
    Phone assistance is required to initiate and/or resolve coverage requests.
    Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed.

    #J-18808-Ljbffr

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