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Full Time Cvs Prior Authorization Jobs (NOW HIRING)

CVS Health

Prior Authorization UM Nurse Consultant

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...

OU Medical Center

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F ...

OU Health

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F ...

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How much do full time cvs prior authorization jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for full time cvs prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is the difference between Full Time Cvs Prior Authorization vs Full Time Cvs Pharmacy Technician?

AspectFull Time Cvs Prior AuthorizationFull Time Cvs Pharmacy Technician
CredentialsTypically requires pharmacy or healthcare-related certificationsPharmacy technician certification often required
Work EnvironmentOffice-based, administrative role within healthcare settingPharmacy or retail store environment, assisting pharmacists
Employer & Industry UsageUsed in healthcare and insurance sectors for medication approvalCommon in retail pharmacy chains like CVS
Primary ResponsibilitiesManaging prior authorization requests, insurance communicationProcessing prescriptions, customer service, medication dispensing support

Full Time Cvs Prior Authorization focuses on managing insurance approvals for medications, requiring administrative and healthcare knowledge. In contrast, Full Time Cvs Pharmacy Technicians assist pharmacists with dispensing medications and customer service. Both roles are vital in pharmacy operations but differ in daily tasks and required credentials.

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Full Time Cvs Prior Authorization jobs near you
Infographic showing various Full Time Cvs Prior Authorization job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Prior Authorization Coordinator

Knoxville, TN • On-site

University Physicians' Association
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about University Physicians' Associationexternal

$17.75 - $22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Job description

Description:

The Prior Authorization Coordinator serves as a liaison between medical providers, insurance companies (payors), and patients. Their primary function is to secure approval from insurance carriers for medical procedures, medications, or treatments before they are administered, ensuring both clinical necessity and financial coverage.


Location: Knoxville, TN – GI for Kids

Job Type: Full-Time


Why You’ll Love This Role:

  • No nights, no weekends, no on-call
  • Monday–Friday, standard business hours
  • Office closed on major holidays
  • Full benefits package (Medical, Dental, Vision, PTO, 401k with match, and more!)

Core Responsibilities:

  • Insurance Verification: Confirming patient eligibility and benefit coverage details, including co-pays and deductibles, prior to services.
  • Request Submission: Preparing and submitting detailed authorization requests through payer portals, fax, or phone, ensuring all required clinical documentation and diagnosis/procedure codes (ICD-10, CPT) are included.
  • Status Tracking: Monitoring pending requests and following up with insurance companies to ensure timely approvals and prevent delays in patient care.
  • Denial Management & Appeals: Reviewing reasons for denied authorizations and initiating the appeals process by gathering additional medical records or coordinating peer-to-peer reviews between physicians and insurance medical directors.
  • Provider & Patient Communication: Updating clinical staff on authorization status and educating patients on their insurance requirements and potential financial responsibilities.
  • Record Maintenance: Entering and updating authorization numbers and expiration dates into Electronic Health Record (EHR) or Practice Management systems for accurate billing.
Requirements:

Key Requirements & Qualifications

  • Education: Typically requires a High School Diploma or GED; however, many employers prefer an associate or bachelor’s degree in healthcare administration or a related field.
  • Experience: Most roles require 1–3 years of experience in medical billing, insurance verification, or a clinical office setting.
  • Clinical Knowledge: Proficiency in medical terminology, anatomy, and standard coding (ICD-10, CPT, HCPCS).
  • Technical Skills: Expertise in using insurance portals (e.g., Availity, CoverMyMeds) and EHR systems.

Essential Skills

  • Detail-Oriented: Precision in documenting clinical data to minimize the risk of claim denials.
  • Time Management: Ability to prioritize urgent authorization requests, especially for time-sensitive treatments like oncology or surgery.
  • Problem-Solving: Identifying missing information in medical charts and navigating complex, changing insurance policies.
  • Communication: Professional verbal and written skills for negotiating with insurance adjusters and explaining complex processes to stressed patients.