Inbound/Outbound Queue Associate - Behavioral Health Job at CVS Health (Work at Home, Illinois)

Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Responsibility

Performs intake of calls from members or providers regarding services via telephone, fax, EDI
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
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

Requirements

1-3 years of Customer Service Background
1-3 years of Call Center experience
High School Diploma or G.E.D., equivalent experience
Download speed 25mbps or more and upload speed 10mbps or more
Hard wiring into modem will be required
Secure workspace free from distractions
Successful completion of the training program

Nice to have

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 to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members
Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word
Ability to effectively participate in a multi-disciplinary team including internal and external participants

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources
bonus, commission or short-term incentive program

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Inbound/Outbound Queue Associate - Behavioral Health

Job Description

Job Responsibility

Requirements

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