Inbound Outbound Queue Associate

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

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💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

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

• Support comprehensive coordination of medical services, including Care Team intake, screening, and care plan implementation • Promote and support quality and effectiveness of healthcare services • Comply with policies, procedures, and regulatory standards • Maintain accurate and complete documentation for risk management, regulatory, and accreditation requirements • Protect member confidentiality • Perform initial review and triage of care team tasks and ongoing management of Care Plan Review tasks • Support development, implementation, and follow-up of care plans • Promote internal and external communication with providers and healthcare team members • Enter and maintain member records in the electronic health record system • Compile reports and complete program documentation, including progress notes and letters • Conduct non-medical research, including eligibility, COB, and benefits verification • Communicate with Aetna internal teams when processing member transitions

🎯 Requirements

• Must reside in Ohio • Effective communication and organizational skills • Ability to manage multiple priorities and adapt to change • Strong customer service skills • Attention to detail and ability to complete required documentation efficiently • Ability to work independently and meet deliverables and deadlines • Computer experience, including Microsoft Word, Outlook, and Excel • Data entry and documentation within member records • Strong verbal and written communication skills • High School diploma, G.E.D. or equivalent • 2+ years of healthcare experience preferred • Familiarity with basic behavioral medical terminology and care management concepts preferred

🏖️ Benefits

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

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