Inbound/Outbound Queue Associate - Behavioral Health

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. Position Summary Shift Available: Monday- Friday; 11:00am-07:30pm EST Training: Monday-Friday; 10:00am-6:30pm EST for 9 weeks Holidays required. This is a fully remote position and the following are some required Work from Home criteria which includes but is not limited to maintaining your own internet with approved speed requirements, secure workspace free from distractions, and successful completion of the training program. Download speed 25mbps or more and upload speed 10 mbps or more. Hard wiring into modem will be required. 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 Required Qualifications 1-3 years of Customer Service Background 1-3 years of Call Center experience. Preferred Qualifications 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 commun...