Customer Service Representative

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, California, +2 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🎰 Nevada – Remote 🤠 Texas – Remote

💵 $17 - $28 / 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

• Engage, consult, and educate members based on their unique 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 maintaining regulatory knowledge • Build trusting and caring relationships with members and understand their needs • Anticipate customer needs • Provide information about plan details, benefits, and member self-service tools • Use the customer service threshold framework to make financial decisions resolving member issues • Explain members’ rights and responsibilities according to contract • Handle incoming appeals and pre-authorizations not handled by Clinical Claim Management • Review member claim history to track benefit maximums and coinsurance/deductible accurately

🎯 Requirements

• At least 1 year of experience in a call center and/or high call-volume environment • Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook) • Ability to support Arizona Time Zone • High school diploma or GED • 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

🏖️ 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 • Full-time comprehensive benefits package