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Full Time Cvs Health Prior Authorization Jobs in Indiana

Medix

Prior Authorization Specialist

South Bend, IN · On-site

$22 - $24/hr

Job Summary Our client is seeking a dedicated Prior Authorization Specialist responsible for ... Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 ...

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 ...

CVS Health

Pharmacy Technician Back End

Indianapolis, IN · On-site

$16 - $26.21/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Prior experience in a pharmacy, retail, medical, or customer service setting * PTCB National ...

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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 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Prior Authorization Specialist

Medix

South Bend, IN • On-site

$22 - $24/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 5 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Prior Authorization Specialist responsible for obtaining prior authorizations and precertifications for various medical services such as radiology exams, oncology services, procedures, and chemotherapy drugs. This position will involve reviewing insurance requirements, liaising with insurance payers, and ensuring that all processes adhere to medical guidelines and regulations.
Key Responsibilities
  • Obtain prior authorizations/precertifications for radiology exams, radiation oncology services, and chemotherapy drugs.
  • Review insurance requirements and payer-specific authorization processes.
  • Analyze clinical information in the EMR to determine requested services.
  • Contact insurers via various means to submit and follow up on authorization requests.
  • Utilize national medical guideline tools to support authorization requests.
  • Verify and document all insurance requirements before approvals.
  • Navigate established workflows for pending authorization cases.
  • Communicate with providers and clinical staff regarding authorization issues.
  • Act as the primary contact for outside facility requests involving clients.
  • Respond to client emails and calls within set policy timeframes.
  • Accurately document authorization correspondence in PM and EMR systems.
  • Adhere to policies regarding treatment therapies and substitutions.
  • Maintain confidentiality, professionalism, quality, and service standards.
  • Comply with HIPAA requirements.
  • Perform additional duties as assigned.

Qualifications
  • 2-3+ years of prior authorization experience.
  • Experience in Radiation Oncology (RadOnc).
  • Understanding of Radiation Oncology treatment workflows and terminology.
  • Knowledge of insurance requirements and payer authorization processes.
  • Proficiency in operating standard office equipment and computer systems.

Experience
  • 2-3+ years in prior authorization

Skills
  • Technical skills: Proficiency with EMR and PM systems
  • Soft skills: Excellent communication, ability to collaborate with healthcare professionals

Additional Requirements
  • Contract to HIRE opportunity

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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