[Remote] Customer Service Representative - Behavioral Health (Monday-Friday 11:35am -8:05pm EST) at CVS Health

Texas Twp, Michigan, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

1-3 years of call center and/or customer service experience
Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and e-mail/chat programs
A private and confidential workspace free from distractions
A hardwired connection (i.e., an Ethernet connection)
High school diploma or GED

Responsibilities

Takes inbound calls from members and determines the quickest, most effective ways to answer member questions
Creates an emotional connection with members by understanding and engaging them to champion their best health
Maintains member records within the overall member management system
Provides introductory information and connects members with additional and appropriate benefits/external resources
Performs a review of members’ claim history to ensure accurate tracking of benefit maximums, including deductible and coinsurance levels
Explains members’ rights and responsibilities in accordance with our plan sponsors’ contracts
Sends outbound e-mails to members where needed
Supports members with troubleshooting and deescalating where needed
Escalates queries and concerns when it is deemed necessary
Ensures that members are satisfied with products/services by handling complaints and inquiries
Works with the customer service team to share solutions and processes
Embodies the CVS Core values in each interaction

Skills

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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