Remote Customer Service Representative - Charleston, WV at CVS Health

United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Must live within 50 miles of Charleston, WV
High-speed internet connectivity with secure service via ethernet cable (Wi-Fi not permitted)
Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems
Ability to communicate effectively with members and providers orally and in written form
Ability to meet performance standards, attendance requirements, and call quality goals
Must be able to work from home and prove to be self-sufficient
High school diploma or equivalent

Responsibilities

Answering incoming member and provider calls
Responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs
Providing telephone assistance to Aetna Medicaid members and providers on eligibility, provider changes, and requests for ID cards

Skills

Key technologies and capabilities for this role

Customer ServiceInbound CallsEligibility VerificationBenefits InquiriesPrior AuthorizationProvider SupportCall QualityTelephone CommunicationWritten CommunicationRemote Work

Questions & Answers

Common questions about this position

What is the pay range for this Customer Service Representative role?

The typical pay range is $17.00 - $25.65 per hour, with the actual offer depending on factors like experience, education, geography, and other relevant factors.

Is this a fully remote position, and what are the location requirements?

You must live within 50 miles of Charleston, WV, and commute to the office when unable to work from home due to prolonged technical problems. The role requires high-speed internet via ethernet cable, with Wi-Fi not permitted, and company provides equipment.

What skills are required for this Member Service Representative position?

Strong customer service skills for inbound calls, ability to communicate effectively orally and in writing with members and providers, and the ability to meet performance standards, attendance requirements, and call quality goals are required.

What is the work schedule for this role?

Training for the first 6 weeks is 8:30 AM - 5:00 PM EST, Monday through Friday, followed by the same production schedule of 8:30 AM - 5:00 PM EST, Monday through Friday, for 40 anticipated weekly hours.

What makes a strong candidate for this CVS Health role?

Candidates with a high school diploma or equivalent, experience working remotely in a call center, and familiarity with Medicaid and Medicare will stand out, along with proven self-sufficiency in a work-from-home setup.

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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