Job Description
Title: Customer Service Representative – Behavioral Health
Location: Indianapolis IN US
Job Type: Fully remote
Salary: 17.00 – 29.30 /hour
Job Description:
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
Available Shifts:
- Monday-Friday 10:30 AM-7:00 PM EST
- Monday-Friday 10:00 AM-6:30 PM EST
- Monday-Friday 11:45 AM – 8:15 PM EST
- Monday-Friday 11:45 AM – 8:15 PM EST
- Monday-Friday 9:30 AM-6:00 PM EST
Behavioral Health Customer Service Reps 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 CSR 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.
Responsibilities:
- 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.
Required Qualifications
- 1-3 years customer service experience within a Call Center atmosphere.
Preferred Qualifications
- Previous Behavioral Health experience: Associates Degree, Medical or Insurance background
Education
- High School Diploma