Customer Service Representative – Behavioral Health

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Arizona, +40 more states – Remote

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💵 $17 - $31 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

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

• Take inbound calls from members and determine the quickest, most effective ways to answer member questions • Create an emotional connection with members by understanding and engaging them to champion their best health • Maintain member records within the overall member management system • Provide introductory information and connect members with additional and appropriate benefits or external resources • Review members’ claim history to ensure accurate tracking of benefit maximums, including deductible and coinsurance levels • Explain members’ rights and responsibilities in accordance with plan sponsors’ contracts • Send outbound emails to members where and as needed • Support members with troubleshooting and de-escalation where needed • Escalate queries and concerns when necessary • Handle complaints and inquiries to ensure member satisfaction with products and services • Work with the customer service team to share solutions and processes • Embody CVS Core values in each interaction • Complete 8 weeks of training, Monday–Friday, 10:00 AM–6:30 PM EST • Work post-training shifts assigned between 8:00 AM and 8:00 PM EST, subject to change at least once a year

🎯 Requirements

• 1-3 years of call center and/or customer service experience • 1-3 years of healthcare and/or medical insurance experience • Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and e-mail/chat programs • A private and confidential workspace free from distractions • A hardwired connection is required, such as an Ethernet connection • Time management skills to promptly respond to e-mails, calls, and chat messages • Active listening skills to effectively handle members who may be upset • Background in mental health or human services preferred • Bilingual or multilingual skills preferred • Experience working from home in a remote role preferred • Associate degree preferred • A high school diploma or equivalent

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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