Transforming Healthcare through Compassionate Service
At CVS Health, our mission is to bring our heart to every moment of your health. As a leader in the healthcare industry, we're committed to delivering enhanced human-centric health care that's both personal and convenient. Our team is guided by a clear purpose and supported by our Heart At Work Behaviors, which empower us to innovate and make a meaningful difference in the lives of our customers.
Job Overview
We're seeking an experienced Inbound/Outbound Queue Associate to join our team at Workwarp, a CVS Health company. As an Inbound/Outbound Queue Associate, you'll play a critical role in coordinating medical services, ensuring seamless communication between members, providers, and our healthcare team. This is an exciting opportunity to work remotely and be part of a dynamic team that's shaping the future of healthcare.
Key Responsibilities
- Coordinate medical services, including intake, screening, and referrals to Aetna Better Health
- Respond to inbound calls from members and providers, and make outbound calls to providers to obtain or provide clinical information
- Utilize Aetna systems, such as MedCompass, QNXT, SSA, ProFAX, and ProPAT, to build, research, and enter member information
- Screen requests for appropriate referral to medical services staff and approve services that don't require medical review
- Perform non-medical research, including eligibility verification, COB, and benefits verification
- Maintain accurate and complete documentation, adhering to risk management, regulatory, and accreditation requirements
- Communicate effectively with internal stakeholders, including Aetna Case Managers, Nurses, and Medical Directors
- Protect member confidentiality and adhere to company policies regarding confidentiality
Essential Qualifications
To succeed in this role, you'll need:
- 1-2 years of experience working as a medical assistant, office assistant, or in a clinical/equivalent role
- Residency in Florida
- High School diploma or equivalent GED
Preferred Qualifications
While not required, the following experience will give you a competitive edge:
- 1-2 years of call center experience
- 1-2 years of prior authorization experience
Skills and Competencies
To excel as an Inbound/Outbound Queue Associate, you'll need:
- Excellent communication and interpersonal skills
- Strong analytical and problem-solving skills
- Ability to work in a fast-paced environment, managing multiple tasks and priorities
- Proficiency in using various software applications, including Aetna systems
- Strong attention to detail and organizational skills
Career Growth and Learning Benefits
At CVS Health, we're committed to helping you grow and develop your skills. As an Inbound/Outbound Queue Associate, you'll have access to:
- Ongoing training and development programs
- Opportunities for career advancement within the company
- Collaborative and dynamic work environment that fosters innovation and teamwork
Work Environment and Company Culture
As a remote team member, you'll enjoy the flexibility and autonomy to work from home while still being connected to our vibrant company culture. Our employees are self-disciplined, hardworking, curious, trustworthy, humble, and truthful, and we encourage a culture of collaboration and teamwork.
Compensation and Benefits
We offer a competitive salary range of $17.00 - $25.65 per hour, depending on your experience and qualifications. In addition to your base pay, you'll be eligible for a CVS Health bonus, commission, or short-term incentive program. Our comprehensive benefits package includes:
- Medical, dental, and vision benefits
- 401(k) retirement savings plan and Employee Stock Purchase Plan
- Fully-paid term life insurance plan and short-term and long-term disability benefits
- Well-being programs, education assistance, and free development courses
- CVS store discount and discount programs with participating partners
- Paid Time Off (PTO) and paid holidays throughout the calendar year
Join Our Team
If you're a motivated and compassionate individual ready to make a difference in the healthcare industry, we encourage you to apply now. We're excited to review your application and discuss this opportunity further.
At CVS Health, we're committed to creating a workplace that's inclusive and equitable for all employees. We anticipate the application window for this opening will close on 10/29/2024. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.
Apply Now