Customer Service Representative - Behavioral Health (Monday-Friday 8:00AM-4:30PM EST)

Identified by Google from the original job post

Qualifications

1 to 3 years of Customer Service experience within a Call Center atmosphere

High School Diploma or GED

Benefits

Fully remote role

The Typical Pay Range For This Role Is

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls

The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors

This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities

The Company offers a full range of medical, dental, and vision benefits

Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners

As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies

Responsibilities

Behavioral Health Customer Service Representative provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources

Schedule: Monday-Friday 8:00-4:30 PM EST

*Schedules may be adjusted based on business need

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

Creates an emotional 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

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