Intake Specialist (Complaint & Appeals)

Phoenix, Arizona, United States

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$35,360 – $59,205Compensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Candidates must reside in Arizona and possess at least 6 months of experience working with Medicare and Medicaid programs, as well as 6 months of experience in behavioral health systems related to individuals with serious mental illness. Proficiency in typing, basic computer knowledge, and the ability to navigate multiple systems for data retrieval are required. Strong critical thinking and multitasking skills are preferred.

Responsibilities

The Intake Specialist will verify caller enrollment status with Mercy Care Plan, collect and document accurate demographic information, and confirm member special assistance details. Responsibilities include utilizing QuickBase to complete intake forms, thoroughly documenting reasons for calls, and providing empathetic support to callers. The role also involves assisting with special projects as assigned.

Skills

Medicare

Medicaid

Behavioral Health Systems

QuickBase

Data Entry

Customer Service

Computer Proficiency

Typing

Critical Thinking

Multitasking

Organization

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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