Care Management & Transplant Coordination Specialist

CVS Health; Atlanta (GA); Remote; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Wellness programs

Retirement savings options

Bonus eligibility

Job summary

CVS Health in Atlanta, GA is seeking a Medical Assistant to support the National Medical Excellence Program by handling inbound calls, researching member information in MedCompass and other Aetna systems, and documenting data.

You will collaborate with clinical teams, perform eligibility and benefits verification, initiate authorizations for transplant-related services, and ensure confidentiality while adhering to regulatory standards.

Qualifications

• 2+ years of medical/clinical support experience.
• Proficient in Microsoft Office, especially Excel.
• Ability to communicate with diverse populations and work in a team.
• Flexibility and ability to work independently.

Responsibilities

• Intake calls from providers or members and document in systems.
• Research eligibility, COB and benefits using Aetna systems.
• Maintain accurate documentation meeting risk and regulatory requirements.
• Assist with referrals, outreach, and data entry as needed.
• Collaborate with clinical teams and physicians; protect confidentiality.

Skills

Medical assisting

Office administration

MS Excel

Communication

Team collaboration

Education

High School Diploma or GED

Associate Degree Preferred

Tools

MedCompass

HRP

ASD

CEC

ATV

Job description

CVS Health in Atlanta, GA is seeking a Medical Assistant to support the National Medical Excellence Program by handling inbound calls, researching member information in MedCompass and other Aetna systems, and documenting data.

You will collaborate with clinical teams, perform eligibility and benefits verification, initiate authorizations for transplant-related services, and ensure confidentiality while adhering to regulatory standards.