Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Behavioral Health Customer Service Representatives (CSR) provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The role guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
Requirements
- 1+ years of experience in a healthcare, call center environment.
- Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.
- Must have a quiet/secure workspace in your home.
- Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast).
- Select a minimum of 25mbps/3mbps.
- A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation.
- Consider the internet usage of others in the household during your scheduled working hours.
- High School Diploma or GED.
Nice To Haves
- Previous Behavioral Health, Medical, or Insurance background.
- Experience working from home in a remote role.
Responsibilities
- Creates an empathetic connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
- Taking accountability to fully understand the member’s needs by building a trusting and caring relationship with the member.
- Anticipates customer needs by answering unasked questions.
- Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
- Performs financial data maintenance as necessary.
- Explains member's rights and responsibilities in accordance with contract.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
