Experienced Remote Customer Service Representative - Delivering Exceptional Healthcare Support for CVS Health Career Opportunities

Introduction to CVS Health At CVS Health, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle is at the core of our commitment to delivering enhanced, human-centric healthcare in a rapidly changing world. Our brand, with heart at its center, sends a personal message that how we deliver our services is just as important as what we deliver. We strive to empower every colleague to feel a sense of pride and fulfillment in the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable. Job Overview We are seeking an experienced and compassionate Remote Customer Service Representative to join our team. As a Member Service Representative, you will provide telephone assistance to Aetna Medicaid members and providers, addressing a wide range of inquiries, including eligibility, provider changes, and requests for ID cards. Your primary goal will be to deliver an exceptional experience to our callers, ensuring that every interaction is handled with professionalism, empathy, and a deep understanding of our members' needs. Key Responsibilities Answering inbound member and provider calls, responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs. Providing accurate and timely information, resolving issues efficiently, and escalating complex cases to senior representatives or other departments as needed. Utilizing high-speed internet connectivity via an ethernet cable (Wi-Fi is not permitted) and company-provided equipment to perform job duties. Participating in a comprehensive training program (first 6 weeks: 8:30 AM - 5:00 PM EST, Monday through Friday) to develop a deep understanding of our products, services, and policies. Working from home, demonstrating self-sufficiency, and maintaining a distraction-free workspace that meets company requirements. Adhering to performance standards, attendance requirements, and call quality goals, ensuring that every interaction meets our high standards for customer satisfaction. Essential Qualifications Must live within 50 miles of Charleston, WV, and be able to commute to the office when unable to work from home due to prolonged technical problems. Ability to communicate effectively with members and providers, both orally and in written form, and meet performance standards, attendance requirements, and call quality goals. High school diploma or equivalent required; experience in a customer-facing role, preferably in a healthcare or call center setting, is highly desirable. Must be able to work from home, prove self-sufficiency, and maintain a secure and reliable internet connection. Preferred Qualifications Experience working remotely in a call center setting, with a proven track record of success in a similar role. Familiarity with Medicaid and Medicare, as well as experience working with healthcare-related products and services. Strong technical skills, including proficiency in using computer software, navigating multiple systems, and troubleshooting common technical issues. Skills and Competencies To succeed in this role, you will need to possess excellent communication and interpersonal skills, with the ability to empathize with our members and provide personalized support. You should be highly organized, able to multitask, and maintain a high level of productivity in a fast-paced environment. Strong problem-solving skills, attention to detail, and a commitment to delivering exceptional customer experiences are also essential. Career Growth Opportunities and Learning Benefits At CVS Health, we are committed to helping our colleagues grow and develop in their careers. As a Remote Customer Service Representative, you will have access to a wide range of training programs, development opportunities, and career advancement possibilities. Our comprehensive training program will equip you with the knowledge and skills needed to succeed in this role, and our ongoing support and coaching will help you continue to grow and develop in your career. Work Environment and Company Culture Our company culture is built on a foundation of respect, empathy, and inclusivity. We strive to create a work environment that is supportive, collaborative, and empowering, where every colleague feels valued and appreciated. As a Remote Customer Service Representative, you will be part of a dynamic team that is passionate about delivering exceptional customer experiences and making a positive impact on the lives of our members. Compensation, Perks, and Benefits We offer a competitive salary range of $17.00 - $25.15 per hour, depending on experience and qualifications. In addition to your compensation, you will enjoy a wide range of benefits, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Our paid time off (PTO) or vacation pay, as well as paid holidays throughout the calendar year, will provide you with the opportunity to rest and recharge. Conclusion If you are a compassionate and customer-focused individual who is passionate about delivering exceptional healthcare support, we encourage you to apply for this exciting opportunity. As a Remote Customer Service Representative, you will play a critical role in helping us achieve our mission of making healthcare more personal, convenient, and affordable. Don't hesitate to submit your application today and take the first step towards a rewarding and challenging career with CVS Health. Apply now and join our team of dedicated professionals who are committed to making a positive impact on the lives of our members. We look forward to receiving your application and exploring how you can contribute to our mission. Apply for this job