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Full Time Cvs Health Prior Authorization Jobs in Indiana

CVS Health

Registered Nurse

Mishawaka, IN

$54K - $116K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

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Full Time Cvs Health Prior Authorization information

What is the difference between Full Time Cvs Health Prior Authorization vs Full Time Cvs Health Medical Assistant?

AspectFull Time Cvs Health Prior AuthorizationFull Time Cvs Health Medical Assistant
CredentialsTypically requires pharmacy or healthcare-related certificationsRequires Medical Assistant certification or diploma
Work EnvironmentOffice-based, administrative setting, focusing on insurance and medication approvalsClinical setting, assisting healthcare providers with patient care
Employer & Industry UsageUsed in pharmacy and insurance sectors within CVS HealthUsed in clinics, outpatient facilities, and CVS Health retail clinics

Full Time Cvs Health Prior Authorization roles focus on managing insurance approvals for medications, requiring administrative and pharmacy knowledge. In contrast, Full Time Cvs Health Medical Assistants provide direct patient care in clinical settings. Both roles are essential within CVS Health but serve different functions and require distinct credentials.

What are the most commonly searched types of Cvs Health Prior Authorization jobs in Indiana?

The most popular types of Cvs Health Prior Authorization jobs in Indiana are:

What are popular job titles related to Full Time Cvs Health Prior Authorization jobs in Indiana?

For Full Time Cvs Health Prior Authorization jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Full Time Cvs Health Prior Authorization jobs in Indiana look for?

The top searched job categories for Full Time Cvs Health Prior Authorization jobs in Indiana are:

Full Time Cvs Health Prior Authorization jobs near you
Infographic showing various Full Time Cvs Health Prior Authorization job openings in Indiana as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Authorization Specialist

Rayus Radiology

Indianapolis, IN • On-site

$17.25 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

RAYUS Radiology rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

RAYUS now offers DailyPay! Work today, get paid today!

RAYUS Radiology is looking for anInsurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will beresponsible for providing expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with referring physicians and patients.

This position is full-time workingM-F 9:00a-5:30p and 1 Saturday per month as OT (8a-12p). This role will require 6 months of onsite training at ourIndianapolis, Indiana East location.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(65%) Insurance Administration

  • Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
  • Determine if patient's insurance is a part of the provider network
  • Make outgoing calls to insurance companies for pre-certification or any authorization
  • Receives pre-authorization from patients and/or insurance companies and documents
  • Contact patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
  • Accurately enter a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
  • Maintain positive interactions with referring offices, patients and staff
  • Backup front desk reception and scheduling area as needed
(30%) Price Quotes
  • Complete payor-related information, i.e., payor, payor class, date of appointment
  • Obtain all workers compensation approvals from insurance companies prior to scheduled exam
  • Obtain patient signs and symptoms in order to support medical necessity
(5%) Completes Other Duties and Projects as Assigned

Required:

  • High School Diploma, or equivalent
  • One (1) year of healthcare experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage
  • Prior experience with managed care and physician office scheduling
  • Microsoft Office Suite Experience
  • Proficient with using computer systems and typing
Preferred:
  • Bilingual

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

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