Inbound/Outbound Queue Associate

Vaga não está no LinkedIn

🕒 5 dias atrás

🌪️ Oklahoma – Remoto

🌪️ Oklahoma – Remote

💵 $17 - $25 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

👻 Score fantasma 0%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 6 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Support comprehensive coordination of medical services, including intake, screening, and referrals to Aetna Better Health • Promote and support quality effectiveness of Healthcare Services • Perform intake of calls from members or providers regarding services via telephone, fax, and EDI • Utilize Aetna systems to build, research, and enter member information • Screen requests for appropriate referral to medical services staff • Approve services that do not require medical review in accordance with the benefit plan • Perform non-medical research, including eligibility verification, COB, and benefits verification • Maintain accurate and complete documentation meeting risk management, regulatory, and accreditation requirements • Promote internal and external communication with claim administrators, Plan Sponsors, third-party payers, members, families, and healthcare team members • Protect member information confidentiality and adhere to company policies • Communicate with Aetna Case Managers, Nurses, and Medical Directors when processing member transactions • Support administration of the precertification process in compliance with applicable laws, regulations, NCQA standards, and company policies • Place outbound calls to providers to provide information or obtain clinical information for medical authorization approval • Use Aetna systems including MedCompass, QNXT, ProFAX, and ProPAT • Perform sedentary work involving significant periods of sitting, talking, hearing, and keying • Use visual acuity for close inspection of written and computer-generated documents and PC monitors

🎯 Requisitos

• 1-2 years’ experience working as a medical assistant, office assistant or other clinical/equivalent experience • Must reside in Oklahoma • Able to work in a 24/7 center and work 40 hours each week • High School Diploma, GED or equivalent experience • Call center experience preferred, 1-2 years • Prior authorization experience preferred, 1-2 years • Associates degree preferred

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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