Service Authorization Queue Specialist

4004 Aetna Medicaid Administrators; Town of Florida (NY); Hybrid; USD 23,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Bonus eligibility

Job summary

CVS Health in Florida is seeking an Inbound/Outbound Queue Associate to support the LTSS Service Authorization Team, handling non-clinical administrative duties, processing requests, and maintaining documentation to ensure timely approvals.

You will work with coordinators, clinical reviewers, care managers and providers in a fast-paced, high-volume environment, delivering accurate data entry, queue management and adherence to regulatory and contractual requirements.

Qualifications

• High School Diploma or GED required.
• Strong communication, customer service, and organizational skills.
• Ability to work effectively in a fast-paced, high-volume operational environment.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office applications and data entry systems.
• Ability to prioritize and manage multiple tasks while meeting established deadlines.
• Strong attention to detail and commitment to accuracy.
• Experience in healthcare, Medicaid, managed care, service authorization, administrative support, or customer service preferred.

Responsibilities

• Manage and monitor 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 skills

Customer service

Organizational skills

Microsoft Office

Data entry

Healthcare experience

Education

High School Diploma or GED

Tools

Microsoft Office

Data entry systems

Job description

CVS Health in Florida is seeking an Inbound/Outbound Queue Associate to support the LTSS Service Authorization Team, handling non-clinical administrative duties, processing requests, and maintaining documentation to ensure timely approvals.

You will work with coordinators, clinical reviewers, care managers and providers in a fast-paced, high-volume environment, delivering accurate data entry, queue management and adherence to regulatory and contractual requirements.