Inbound/Outbound Queue Associate – Work at Home

CVS Health•Work At Home-Florida, FL

1d•$17 - $28•Remote

About The Position

The Inbound/Outbound Queue Associate supports the Florida Long-Term Services and Supports (LTSS) Service Authorization Team (SAT) by performing non-clinical administrative and operational functions related to service authorization processing. The Associate assists with managing inbound and outbound work queues, processing authorization requests, reviewing documentation for completeness, routing requests appropriately, and supporting authorization workflows to ensure timely and accurate processing. This role works collaboratively with Service Authorization Coordinators, Clinical Reviewers, Care Managers, providers, facilities, and internal departments to support authorization operations and maintain compliance with regulatory, contractual, and organizational requirements.

Requirements

High School Diploma or GED required.
Strong communication, customer service, and organizational skills.
Ability to work effectively in a fast-paced, high-volume operational environment.
Strong verbal and written communication skills.
Proficiency with Microsoft Office applications and data entry systems.
Ability to prioritize and manage multiple tasks while meeting established deadlines.
Strong attention to detail and commitment to accuracy.

Nice To Haves

Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred.

Responsibilities

Manage and monitor inbound and outbound authorization work queues.
Receive, review, and process authorization requests and supporting documentation.
Review requests for completeness and identify missing or incomplete information.
Route authorization requests to the appropriate team or department for review and processing.
Process fax, email, and electronic submissions related to service authorization activities.
Respond to authorization-related inquiries and provide status updates as appropriate.
Enter and maintain accurate information within authorization and care management systems.
Document actions and maintain required records in accordance with established procedures.
Support administrative and operational workflows related to service authorizations.
Monitor pending requests and assist with follow-up activities necessary to support timely processing.
Maintain productivity, accuracy, and quality standards while managing a high-volume workload.
Assist with special projects, backlog reduction efforts, and operational initiatives as assigned.