Inbound/Outbound Service Authorization Specialist

CVS Health Corporation; Town of Florida (NY); Remote; USD 23,000 - 39,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Job summary

CVS Health Corporation in Florida is seeking an Inbound/Outbound Queue Associate for the LTSS Service Authorization Team (SAT). You will handle non-clinical admin tasks, manage work queues, review documentation, and support authorization workflows to ensure timely processing.

You will collaborate with coordinators, clinical staff, and providers to maintain compliance and efficient operations. This is a full-time, 40-hour-per-week role with competitive benefits and CVS Health incentives.

Qualifications

• High School Diploma or GED required.
• Strong communication, customer service, and organizational skills.
• Able to perform in a fast-paced, high-volume operational environment.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office applications and data entry systems.
• Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred.

Responsibilities

• Manage inbound and outbound authorization work queues.
• Receive, review, and process authorization requests and supporting documentation.
• Review requests for completeness and identify missing or incomplete information.
• Route authorization requests to the appropriate team or department for review and processing.
• Process fax, email, and electronic submissions related to service authorization activities.
• Respond to authorization-related inquiries and provide status updates as appropriate.
• Enter and maintain accurate information within authorization and care management systems.
• Document actions and maintain required records in accordance with established procedures.
• Support administrative and operational workflows related to service authorizations.
• Monitor pending requests and assist with follow-up activities necessary to support timely processing.
• Maintain productivity, accuracy, and quality standards while managing a high-volume workload.
• Assist with special projects, backlog reduction efforts, and operational initiatives as assigned.

Skills

Communication

Customer service

Organizational skills

Verbal communication

Written communication

Attention to detail

Healthcare experience

Education

High School Diploma or GED

Tools

Microsoft Office

Data entry systems

Job description

CVS Health Corporation in Florida is seeking an Inbound/Outbound Queue Associate for the LTSS Service Authorization Team (SAT). You will handle non-clinical admin tasks, manage work queues, review documentation, and support authorization workflows to ensure timely processing.

You will collaborate with coordinators, clinical staff, and providers to maintain compliance and efficient operations. This is a full-time, 40-hour-per-week role with competitive benefits and CVS Health incentives.