Customer Service Representative, Behavioral Health (shift: Mon-fri 11:45am-8:15pm Est) at CVS Health

Overview

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. Position Overview

Schedule

Monday-Friday 11:45AM-8:15PM EST Schedules subject to change at any time with advanced notice due to business need. Holiday/PTO

Requirements

• As a 24-hour call center operation, we will treat holidays as normal working business days, unless you have been approved for time off.
• This means you would work your normal shift if the Company Observed Holiday falls on your normal workday.
• No PTO available the first 45 days of employment.
• Training

Requirements

• First six-seven weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST.
• What you will do 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.
• Workspace Requirements Must have a quiet/secure workspace in your home.
• Recommended Technical requirements when obtaining your own residential internet service.
• Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast).
• Select a minimum of 25mbps/3mbps.
• Remember, the higher the speed, the faster your internet.
• 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.
• Required Qualifications 1+ years of experience in a healthcare, call center environment.
• Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.

Benefits

• for great people We take pride in offering a comprehensive and competitive mix of pay and

Benefits

• that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive

Benefits

• package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The

Benefits

• for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available

Benefits

• are provided during the application process and on