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Inbound/Outbound Queue Associate
CVS HealthSupport medical prior authorization operations by handling inbound calls and managing case documentation. Requires familiarity with health insurance workflows and HIPAA compliance.
Posted 7/21/2026full-timeRemote • Idaho, Texas, Vermont • 🇺🇸 United StatesJuniorMid-Level💰 $17 - $26 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical prior authorization operations, ensuring HIPAA-compliant handling of PHI/PII while providing exceptional customer service in a fast-paced environment. Proficient in navigating multiple computer applications for accurate case documentation and data entry.
Highest-signal resume keywords
Customer Service ExperienceHealth Insurance KnowledgeHIPAA ComplianceData Entry SkillsVerbal Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior AuthorizationUtilization ManagementBenefits TerminologyClaims TerminologyCase Documentation
Soft Skills
Active ListeningDe-Escalation Skills
Tools & Technologies
CRM SystemsWeb Portals
Industry Keywords
HealthcareMedical OfficeHealth Insurance
About the role
Key responsibilities & impact- Supports medical prior authorization operations by taking inbound calls from members and providers
- Builds cases in multiple systems
- Ensures accurate documentation and HIPAA-compliant handling of PHI/PII
Requirements
What you’ll need- 1+ year of customer service/call center experience (healthcare, health insurance, or medical office preferred)
- Familiarity with health insurance concepts and workflows (e.g., prior authorization/precertification, utilization management, benefits, claims terminology)
- Working knowledge of HIPAA privacy practices and ability to handle PHI/PII appropriately
- Comfort navigating multiple computer applications at once (case tools/CRM, web portals) with accurate, fast data entry
- Strong verbal communication, active listening, documentation, and de-escalation skills
- Must be on camera during training
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility