Medicare Service Advocate

Job not on LinkedIn

🔥 25 minutes ago

🏈 Alabama, Arizona, +42 more states – Remote

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💵 $17 - $31 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 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

• Connect with members through outbound and inbound calls • Communicate with members via video conferencing and/or SMS • Answer questions and resolve member issues • Provide holistic education on benefit usage, plans, claims, medical, dental, prescriptions, and value-added services • Advocate for Medicare members and help navigate health plan benefits • Conduct high-touch omnichannel outreach campaigns • Document and track member contacts • Educate members on self-service options • Respond to inquiries from Medicare Advantage members • Follow campaign guidelines and exceed member expectations • Take ownership and follow through on commitments • Work in a team and production-based environment to deliver service

🎯 Requirements

• 1 year of customer service experience in any line of business • Ability to creatively solve members’ problems and desire to help and advocate for them • Problem-solving with demonstrated ownership qualities • Demonstrated empathy, compassion, and listening skills • Window based application knowledge • High School Diploma or GED • Preferred: Proven leadership skills • Preferred: Ability to de-escalate situations • Preferred: Effective communication and documentation skills • Preferred: Ability to quickly learn new skills and apply them • Preferred: Demonstrated multitasking and problem-solving skills • Preferred: Healthcare and medical terminology knowledge • Preferred: Medical billing and claims process experience • Ability to work in a metric-based production environment • Ability to navigate multiple computer-based systems • Bilingual applicants encouraged to apply

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Full-time comprehensive benefits package

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