CVS is hiring a Remote Inbound Outbound Queue Associate. The link to apply is below.
Position Summary
This position is for candidates in the CST/EST time zone with a $18.50/ hour salary.
Training and Shift:
- Training: 6 weeks, M-F btw 8am-5pmEST – no PTO allowed during that time
- During training you will be on camera and in business attire
- Shift: Shift can be anywhere btw 8am-8:30pm EST M-F
– Supports comprehensive coordination of medical services including intake, screening to Aetna Medical Services Programs.
-Promotes/supports quality effectiveness of Healthcare Services.
-Performs intake of calls from members or providers regarding services via telephone, fax, EDI.
-Utilizes MedCompass/ATV and other Aetna system to build, research and enter member information.
-Screens requests for appropriate referral to medical services staff.
-Approve services that do not require a medical review in accordance with the benefit plan.
-Performs non-medical research including eligibility verification, COB, and benefits verification.
-Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
-Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third party payers as well as member, family, and health care team members respectively)
-Protects the confidentiality of member information and adheres to company policies regarding confidentiality
Communicate with Aetna Case Managers, when processing transactions for members active in this Program
-Supports the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures.
-Sedentary work involving significant periods of sitting, talking, hearing and keying.
-Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor.
-Working environment includes typical office conditions.
Required Qualifications
-1-2 years of call center experience required
Preferred Qualifications
-2-4 years experience as a medical assistant, office assistant or other
Education
High School Diploma / GED
Pay Range
The typical pay range for this role is:
$17.00 – $27.90
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