Inbound Outbound Queue Associate

CVS Health•Work At Home-Texas, TX

2d•$17 - $28•Onsite

About The Position

The Inbound Outbound Queue Associate interacts with external providers, delivering excellent customer service. They promote and support quality administration of healthcare services, while also supporting comprehensive coordination, including (but not limited to) data entry.

Requirements

1+ year of experience in customer service and/or data entry.
Computer literacy and demonstrated proficiency in navigating external/internal computer systems, as well as Microsoft Office Suite applications, including Word and Excel.

Nice To Haves

1-2 years of experience as a medical and/or office assistant.
Effective telephonic communication and organizational 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.
Ability to effectively participate in a multi-disciplinary team including both internal and external participants.
Strong computer navigation skills.
Ability to implement regular feedback for development purposes.
Works well in a team-based environment.

Responsibilities

Enter authorizations within 24 hours of notification. These can include, but are not limited to: BH IP (Behavioral Health Inpatient) SUD (Substance Use Disorder) Residential Detox Subacutes BHRF (Behavioral Health Residential Facility) BHIF (Behavioral Health Inpatient Facility) HCTC (Home Care Therapeutic Foster Care) COE (Court Order Extension)/COT (Court Order Treatment) BH SNF (Behavioral Health Skilled Nursing Facility)
Research and file Certification of Needs (CON) and Recertification of Needs (RON).
Send DD (Developmental Disabilities) Notifications to DD Coordinators upon admissions.
Assign and label faxed medical records to correct clinician by assigned facilities.
Assist with discharges to be entered and research ASAM (American Society of Addiction Medicine) scores.