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 CVS/Aetna has an opportunity available for a full-time Customer Service Representative on the Behavioral Health team. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution, and education on virtual resources. The Customer Service Representative guides the member through their member’s plan of benefits and Aetna policy & procedures, as well as having knowledge of resources to comply with any regulatory guidelines.
Requirements
- 1+ year of experience in a call center environment.
- Previous experience using Microsoft Office products, specifically Excel, Outlook, and Word.
- Must have a quiet and 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.
- You may need to obtain a higher speed internet connection so your ability to perform your work is not affected.
- Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment.
Nice To Haves
- Previous behavioral health, medical, or insurance experience.
- Previous experience working from home in a remote role.
- Strong empathy and communication skills, both written and verbal.
- Attention to detail.
- Strong organization and time management skills.
- Ability to operate independently, as well as within a collaborative, team-oriented environment.
Responsibilities
- Create an emotional connection with our members by understanding and engaging the member to the fullest, in order to champion for our members' best health.
- Take accountability to fully understand the member’s needs by building a trusting and caring relationship with the member.
- Anticipate customer needs.
- Perform review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
- Perform financial data maintenance as necessary.
- Explain 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
Mid Level
Education Level
High school or GED
