- CVS Health (Annapolis, MD)
- …standards, where applicable, while adhering to company policy and procedures. - Places outbound calls to providers under the direction of Medical - Management Nurses ... to obtain clinical information for approval of medical authorizations. - Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. - Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in this… more
- CVS Health (Atlanta, GA)
- …where applicable, while adhering to company policy and procedures. - Places outbound calls to providers to provide information or obtain clinical information for ... approval of medical authorizations. - Uses Aetna Systems such as MedCompass, QNXT, ProFAX and ProPAT. - Communicates with Aetna Nurses and Medical Directors when processing transactions for members active in this Program. - Sedentary work involving significant… more
- WM (Lewisville, TX)
- …In this position, you will become a retention expert! You'll split your time between inbound and outbound calls with our customer base to resolve issues and ... anyone else in the industry. **Job Summary** The Account Associate I (AA) serves as a key point of...Small/Medium business customers. Operating as part of a team-based queue , the AA focuses on retaining and growing the… more
- TEKsystems (Santa Barbara, CA)
- Description A Clinical Support Associate - Enhanced Care Management (CSA-ECM) is part of the Enhanced Care Management Unit within the Medical Management department. ... processing authorization and referral requests. * Respond promptly to inbound calls in the Health Services' phone queues. *...calls in the Health Services' phone queues. * Make outbound calls to providers, members, and Health staff regarding… more
- PenFed Credit Union (San Antonio, TX)
- …the position will perform other duties as assigned. + Answer persistent inbound member calls and accurately complete requested transactions regarding PenFed deposit, ... all member interactions. + Answer member inquiries via chat functionality and outbound calls. + Calmly research, resolve, and de-escalate member questions or issues.… more