About The Position

Aetna LTC Inbound/Outbound Queue Associate is responsible for reviewing requests and entering service authorizations within 24 hours into associated applications. They are responsible for successfully sending service authorizations to providers and notifications to Case Managers. 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.

Requirements

  • Must be fluent in English and Spanish
  • Must reside in Miami FL
  • 2+ Years of 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.
  • 2+ years’ demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite application (Teams, Outlook, Word, Excel, etc.)
  • Strong and effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm.

Nice To Haves

  • Motivational interviewing skills
  • Call Center experience
  • Managed Care experience
  • 1-4 years of experience in healthcare field or working in a medical office, hospital setting, case worker in community health setting

Responsibilities

  • Reviewing requests and entering service authorizations within 24 hours into associated applications.
  • Successfully sending service authorizations to providers and notifications to Case Managers.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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