Inbound/Outbound Queue Associate

Job Description:

  • 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
  • Process fax, email, and electronic submissions related to service authorization activities
  • Respond to authorization-related inquiries and provide status updates
  • Enter and maintain accurate information within authorization and care management systems
  • Document actions and maintain required records
  • Support administrative and operational workflows related to service authorizations
  • Monitor pending requests and assist with follow-up activities
  • Maintain productivity, accuracy, and quality standards while managing a high-volume workload
  • Assist with special projects, backlog reduction efforts, and operational initiatives

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

Benefits:

  • CVS Health bonus, commission or short-term incentive program in addition to base pay
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being, based on eligibility
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