Authorization Team Lead

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Primary Job Duties & Responsibilities: - Leads and supports a team of Authorization Specialists responsible for obtaining, tracking, and maintaining insurance authorizations for medical services and procedures. - Serves as a primary point of contact for patients regarding authorization status, insurance requirements, and coverage-related questions, ensuring accurate and timely communication. - Reviews patient records and insurance information to determine authorization needs, verifies benefits, and ensures compliance with payer guidelines and regulatory requirements. - Coordinates with insurance carriers, physician offices, and clinical staff to submit prior authorization requests, appeals, and supporting documentation. - Monitor...