Inbound/Outbound Queue Associate

Job not on LinkedIn

🔥 1 hour ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Accept inbound calls from facilities, providers, and members regarding pre-certification within Medicare and Commercial Insurance • Perform intake of calls from members or providers regarding services via telephone, fax, and EDI • 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 • Protect the confidentiality of member information and adhere to company confidentiality policies • Communicate with Aetna Case Managers when processing transactions for members active in the program • Perform other duties and responsibilities as required

🎯 Requirements

• 1+ years of Customer Service Background • 1+ years of Call Center experience • Must have high speed internet and a secure working space • High School Diploma or equivalent GED • Familiarity with basic medical terminology and concepts used in care management • 2-4 years experience as a medical assistant, office assistant or other clinical experience • Effective communication, telephonic and organization skills • Strong customer service skills • Computer literacy, including Excel and Microsoft Word • Ability to effectively participate in a multi-disciplinary team including internal and external participants • Monday-Friday availability, 12:00pm-8:30pm EST • Training availability Monday-Friday, 10:00am-6:30pm ET, for the first 8 weeks • Some holiday work may be required because the department is open 365 days a year

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Remote work arrangement