Customer Service Representative, Member Care
Sidecar HealthSalary not specified
Full Time
Entry Level & New Grad, Junior (1 to 2 years)
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries
Requirements
High school diploma or equivalent GED is required, along with 2-4 years of experience as a medical assistant, office assistant, or other clinical experience. Proficiency in using Aetna systems such as QNXT, ProFAX, ProPAT, Faxhub, and MedCompass is necessary.
Responsibilities
The Inbound/Outbound Queue Associate supports the coordination of medical services, including intake, screening, and referrals to Aetna Medical Services Programs. Responsibilities include performing intake of calls, utilizing Aetna systems to manage member information, screening requests, approving services, performing non-medical research, maintaining documentation, promoting communication with internal and external parties, protecting member confidentiality, and supporting the precertification process by placing outbound calls to providers for clinical information.
Skills
Medical Services Coordination
Intake
Screening
Referrals
Call Center Operations
Data Entry
Eligibility Verification
Benefits Verification
Documentation
Confidentiality
Communication
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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