Inbound Outbound Queue Associate

Job not on LinkedIn

🔥 20 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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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

• Manage and monitor inbound and outbound authorization work queues • Receive, review, and process authorization requests and supporting documentation • Review requests for completeness and identify missing or incomplete information • Route authorization requests to the appropriate team or department • Process fax, email, and electronic submissions related to service authorization activities • Respond to authorization-related inquiries and provide status updates • Enter and maintain accurate information in authorization and care management systems • Document actions and maintain required records • Support administrative and operational service authorization workflows • Monitor pending requests and assist with follow-up activities • Maintain productivity, accuracy, and quality standards while managing a high-volume workload • Assist with special projects, backlog reduction efforts, and operational initiatives

🎯 Requirements

• 2+ years of customer service experience • 2+ years’ experience with Microsoft Office applications and data entry systems • Strong written and verbal communication skills • Strong organizational skills • Ability to work effectively in a fast-paced, high-volume operational environment • Ability to prioritize and manage multiple tasks while meeting established deadlines • Strong attention to detail and commitment to accuracy • Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred • Preference for someone to reside in Florida • High School or GED required

🏖️ Benefits

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

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