Inbound Outbound Queue Associate, CVS Health

Inbound Outbound Queue Associate

CVS Health

Location:
United States, Work At Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 25.65 USD / Hour

Save Job

Apply Position

Job Description:

Supports comprehensive coordination of medical services for Aetna Better Health, performing intake, screening, referrals, and authorization processes while maintaining documentation and communicating with medical staff and providers.

Job Responsibility:

Supports comprehensive coordination of medical services including intake, screening, and referrals
Performs intake of calls from members or providers regarding services via telephone, fax, EDI
Utilizes Aetna system to build, research and enter member information
Screens requests for appropriate referral to medical services staff
Approve services that do not require a medical review
Performs non-medical research including eligibility verification, COB, and benefits verification
Maintains accurate and complete documentation
Places outbound calls to providers to provide information or obtain clinical information for approval of medical authorizations
Uses Aetna Systems such as MedCompass, QNXT, ProFAX and ProPAT

Requirements:

1-2 years' experience working as a medical assistant, office assistant or other clinical/equivalent experience
Call center experience is preferred, 1-2 years
Prior authorization experience, 1-2 years
Associates degree, preferred
High School Diploma, GED or equivalent experience

Nice to have:

Call center experience
Prior authorization experience
Associates degree

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 11, 2025

Expiration:
September 16, 2025

Employment Type:

Fulltime

Work Type:

Remote work

View All Jobs In This Company

Job Link Share:

Welcome to CrawlJobs.com –
Your Global Job Discovery Platform

At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.