Customer Service Representative

Job not on LinkedIn

🔥 15 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $17 - $31 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Handle customer service inquiries and problems via telephone, internet, or written correspondence • Engage, consult, and educate members based on their needs, preferences, and understanding of Aetna plans, tools, and resources • Answer questions and resolve issues from members, providers, and plan sponsors • Triage resulting rework to appropriate staff • Document and track contacts with members, providers, and plan sponsors • Guide members through benefits plans and Aetna policies and procedures while complying with regulatory guidelines • Build trusting and caring relationships with members and understand their needs • Anticipate customer needs and provide related plan, benefit, and self-service information • Use the customer service threshold framework to make financial decisions and resolve member issues • Explain members’ rights and responsibilities in accordance with the contract • Handle incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management • Review member claim history to track benefit maximums, coinsurance, and deductibles accurately • Perform other duties as needed

🎯 Requirements

• At least 1 year of experience in a call center and/or high call-volume environment • At least 1 year of experience in health insurance, particularly Medicaid, Medicare, and/or Medicare Advantage • Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) • Willingness to work a flexible schedule Monday-Friday from 8am-6pm Arizona Time • Demonstrated knowledge of medical terminology • Previous experience in a healthcare environment • Strong organizational and time management skills • Excellent communication skills • Ability to demonstrate empathy in a professional, customer-oriented manner • Previous experience in Medicare • High school diploma or GED

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting colleagues’ physical, emotional, and financial well-being • Comprehensive benefits package for eligible full-time colleagues