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CVS Health
CVS Health
Chakana savdoSog‘liqni saqlashTibbiy sug‘urta
CVS Health sog‘liqni saqlash xizmatlari, tibbiy sug‘urta, dorixona imtiyozlarini boshqarish va chakana dorixona faoliyati yo‘nalishlarida ishlaydigan Amerika kompaniyasidir. Aetna va CVS Caremark kabi bizneslari orqali tibbiy sug‘urta qamrovi, retsept bo‘yicha dori vositalaridan foydalanish, kasalliklarni boshqarish, maxsus dori-darmonlar va pochta orqali dorixona xizmatlarini taqdim etadi. Uning mahalliy dorixonalari va keng qamrovli tibbiy xizmatlari odamlarga zarur tibbiy yordamdan qulayroq va hamyonboproq foydalanishga yordam berish uchun mo‘ljallangan. CVS Health sug‘urta, dorixona va sog‘liqni saqlash xizmatlarini birlashtirib, insonlar va jamoalarni davolanish jarayonining barcha bosqichlarida qo‘llab-quvvatlaydi.
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Kompaniyadagi ish o‘rinlari

Remote Inbound and Outbound Queue Associate at CVS Health

CVS Health is hiring a remote queue associate to coordinate Aetna member and provider service requests. The role covers intake, eligibility checks, referrals, benefits verification, and precertification support.

USAmerika Qo‘shma Shtatlari
17 $ – 25 $ / soat
MasofaviyTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaAssotsiatsiyalangan mutaxassisUmumiy

Tavsif

  • Coordinate medical service requests through intake, screening, and referral activities
  • Support healthcare service quality and effectiveness initiatives
  • Handle member and provider service inquiries through telephone, fax, and EDI
  • Build, research, and update member records in Aetna systems
  • Review requests and route those requiring medical services staff involvement
  • Approve benefit-plan services that do not require medical review
  • Conduct non-medical research, including eligibility, coordination of benefits, and benefit verification
  • Maintain complete and accurate records in line with risk management, regulatory, and accreditation standards
  • Facilitate communication among claim administrators, plan sponsors, third-party payers, members, families, and healthcare teams
  • Safeguard member information in accordance with company confidentiality policies
  • Coordinate applicable member transactions with Aetna Case Managers, Nurses, and Medical Directors
  • Support precertification administration in accordance with applicable laws, regulations, and NCQA standards
  • Contact providers outbound to share information or obtain clinical details for medical authorization approvals
  • Work with Aetna systems including MedCompass, QNXT, ProFAX, and ProPAT
  • Perform sedentary duties requiring extended periods of sitting, speaking, listening, and keyboard use
  • Review written materials, computer-generated documents, and information displayed on a PC monitor

Talablar

  • One to two years of experience as a medical assistant, office assistant, or in comparable clinical or equivalent work
  • High school diploma, GED, or equivalent experience
  • Ability to establish a direct, hardwired internet connection from the modem or router to the computer within 7 feet
  • Internet service with at least 25 Mbps download and 3 Mbps upload speeds
  • WiFi and satellite internet connections are not permitted
  • A quiet, secure, private home workspace that meets CVS Health and HIPAA requirements
  • Ability to work from the state and city where currently residing
  • Ability to provide workspace furniture, such as a desk or standing desk
  • Comfort using multiple monitors and navigating several applications at once
  • Ability to communicate through email, calendar invitations, Teams messages, and virtual meetings
  • Experience with Microsoft Office 365, including Teams, Outlook, Word, Excel, and PowerPoint, or comparable Google Workspace tools
  • Ability to access secure systems such as VPNs and EHR portals
  • Understanding of computer security practices, including screen locking, strong password management, and identifying suspicious emails or links
  • Ability to troubleshoot common technical problems independently
  • Willingness to develop new skills as workplace needs change
  • Associate degree preferred
  • One to two years of call center experience preferred
  • One to two years of prior authorization experience preferred

Imtiyozlar

  • Eligibility for a 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
  • Additional resources subject to eligibility
  • Company-provided equipment, including a keyboard, monitor, computer, and headset

O‘xshash ish o‘rinlari

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Xodimlar
LogistikaMehmondo‘stlikSog‘liqni saqlash
ARArgentinaBOBoliviyaBRBraziliyaCLChiliCOKolumbiyaCRKosta-RikaCUKubaDODominikan RespublikasiECEkvadorGTGvatemalaHNGondurasHTGaitiMXMeksikaNINikaraguaPAPanamaPEPeruPRPuerto-RikoPYParagvaySVSalvadorUYUrugvayVEVenesuelaMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: ispanchaTarjimon

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Ochish
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo
51 – 200 Xodimlar
KonsaltingLogistikaMarketing
PHFilippin
45 000 ₱ / oy
MasofaviyTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaRahbar yordamchisi

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

Ochish