Provider Customer Service Representative

Customer Service Representative

At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty. This position pays $18.50/hour.

Key Responsibilities

• Actively listen and be an advocate for customers, understand their needs and provide guidance and support
• Resolve customer inquiries and issues efficiently while documenting all interactions.
• Educate customers about available resources and assist them in navigating their options.
• Anticipate customer needs and provide proactive solutions to enhance satisfaction.
• Collaborate with team members and other departments to address service issues and improve outcomes.
• Document all customer correspondence and maintain confidential records of patient information.
• Follow policies, procedures, and the CVS/Aetna Code of Conduct.

Your performance will be measured by: Customer satisfaction with the service you provide. Demonstrating CVS/Aetna's "Heart at Work" behaviors including Putting People First, Joining Forces, and Inspiring Trust. Your ability to resolve customer issues the first time they call. Quality and accuracy of interactions with customers. Reporting to work and adhering to your assigned schedule.

Our Leadership and Welcome Teams will help you succeed by providing: New colleague orientation to learn about our company and your role. Engaging and comprehensive training for 7 weeks. A supportive and inclusive culture that will allow for continuous learning and growth. Ongoing coaching and mentoring support. Equipment and resources needed to complete assigned work.

Key Competencies and Behavioral Requirements

• Demonstrated empathy and effective communication skills.
• Respectful and kind demeanor in all communications while being an advocate for our customers
• Strong problem-solving and decision-making abilities.
• Ability to manage multiple resources and tasks in a fast-paced environment.

Required Qualifications

• 6+ months of customer service experience.
• Basic computer skills.

Preferred Qualifications

• 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role.
• Microsoft office experience preferred.

Education

High School Diploma, GED, or equivalent experience.

You must have: High-speed internet access (100mbs) with adherence to workplace model and potential telework agreements. Willingness to work specific hours, with flexibility. Work hours will be between 7am to 7pm local time, Monday through Friday, and can vary periodically throughout the year. Advance notice will be given if schedules are changed. Anticipated weekly hours 40. Time type full time. Pay range The typical pay range for this role is: $17.00 - $31.30.

Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.