Inbound Outbound Queue Associate
Core
Coordinate medical services intake, screening, and referrals via phone and fax while verifying eligibility and benefits.
Role type
Inbound/Outbound Queue Associate (Medical Services)
Builds
Medical service authorizations and member eligibility verifications
Domain
Health insurance administration
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical assistant or office assistant experience, telephone communication, data entry, eligibility verification, benefits verification, regulatory compliance, confidentiality handling, outbound calling, system navigation (Aetna/MedCompass/QNXT/ProFAX/ProPAT), Microsoft Office 365
Preferred skills
Call center experience, prior authorization experience, Associate's degree
Technologies
Aetna Systems (MedCompass, QNXT, ProFAX, ProPAT), Microsoft Office 365, EHR portals