Inbound/Outbound Queue Associate-Behavior 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. This is a fully remote WFH position. Shift Required: Sunday to Thursday 8:30 AM – 5:00 PM EST *Training: 8:00 AM - 4:30 PM EST, Monday-Friday, for first 8 weeks (remote) *Some Holidays required. *Shift Differential will be included. Position Summary Inbound Queue Associate - Behavioral Health role is responsible for accepting inbound calls from facilities, providers, and members regarding pre-certification process within Medicare and Commercial Insurance. Responsibilities to include but limited to the following: 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 Other duties and responsibilities as required. Required Qualifications 1 plus years of Customer Service Background 1 plus years of Call Center experience Reliable internet connection ( 25 Mbps download speed, 10 Mbps upload plan) Quiet work environment Preferred Qualifications Familiarity with basic medical terminology and concepts...