Prior Authorizations, Technician I

CVS Health

CVS Health prior authorization technician handling pharmacy and healthcare authorization requests from a Florida home office. Processing calls, faxes, ePA submissions, documentation, and escalations.

Posted 8/4/2026full-timeRemote • Florida • 🇺🇸 United StatesJunior💰 $17 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in customer service and pharmacy operations, with a strong understanding of prior authorization processes and pharmaceutical terminology. Capable of maintaining accurate documentation and effectively communicating with diverse stakeholders while adhering to compliance standards.

Highest-signal resume keywords

Customer Service ExperiencePharmacy Technician KnowledgeMicrosoft ExcelPrior Authorization ProcessingCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Basic Computer SkillsPharmaceutical KnowledgeKeyboard SkillsDocumentation AccuracyMultitasking Ability

Soft Skills

Problem-SolvingAdaptabilityMotivationConfidentiality MaintenanceInterpersonal Skills

Tools & Technologies

Microsoft WordMicrosoft AccessMicrosoft OutlookMicrosoft PowerPointMicrosoft Visio

Industry Keywords

Protected Health Information (PHI)Prior AuthorizationInbound CallsOutbound CallsClinical Inquiries

About the role

Key responsibilities & impact

Take inbound calls from providers, pharmacies, members, and other callers, providing 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
Manage inbound call, fax, and ePA request volume according to established standards
Comply with departmental, company, state, and federal requirements when processing information
Communicate determination status and results with internal groups, including seniors, pharmacists, and appeals
Identify and elevate clinical inquiries to the pharmacist team
Perform additional duties such as faxes, sorting, email boxes, and CAS maintenance

Requirements

What you’ll need

6 months of customer service or pharmacy technician experience
High school diploma or equivalent GED
Basic computer skills
Required knowledge of Microsoft Excel and Word; Access, Outlook, PowerPoint, and Visio preferable
Essential keyboard skills
Ability to multitask and use multiple system applications simultaneously
Basic pharmaceutical knowledge covering terminology, calculations, and protocols
Ability to use available resources independently and produce high-quality work
Ability to absorb information, demonstrate motivation, seek development, and problem-solve
Ability to adapt to workflow changes and shifting priorities
Excellent written, verbal, grammar, and listening communication skills
Ability to deal with diverse internal and external customers in a friendly and confident manner
Ability to maintain confidentiality of Protected Health Information (PHI)
Regular and predictable attendance
Willingness to work mandatory overtime or an extended work week when needed
Willingness to travel when needed
Ability to work long periods sitting, talking on the phone, and reading a computer screen
Home workspace must comply with CVS Health privacy and security policies

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Home office work arrangement