Experienced Customer Service Representative - Aetna Medicaid Member Support

About CVS Health

At CVS Health, we're more than just a pharmacy or a healthcare company. We're a team of dedicated professionals who share a single, clear purpose: Bringing our heart to every moment of your health. Our purpose guides our commitment to deliver enhanced human-centric healthcare 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, empowering every colleague to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable.

Job Summary

We're seeking an experienced Customer Service Representative to join our team in Charleston, WV. As a Member Service Representative, you will provide telephone assistance to Aetna Medicaid members and providers, answering an array of inquiries such as eligibility, provider changes, and requests for ID cards. We strive to provide an excellent experience to our callers each and every time. Calls are inbound, and strong customer skills are required to be successful in this role.

Responsibilities

As a Customer Service Representative, you will be responsible for:

• Answering in-coming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.
• Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted.
• Company provides equipment and training.
• Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday
• Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday

Required Qualifications

To be successful in this role, you must:

• 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

Preferred Qualifications

While not required, the following qualifications are preferred:

• Experience with working remotely in a call center setting
• Experienced with Medicaid and Medicare

Education

A high school diploma or equivalent is required.

Pay Range

The typical pay range for this role is $17.00 - $25.15. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors.

Benefits

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. CVS Health offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.

Work Environment and Culture

As a Customer Service Representative, you will be working in a fast-paced call center environment. You will be required to work from home, with high-speed internet connectivity and secure service via ethernet cable. The Company provides equipment and training to support your success in this role. Our culture is centered around our Heart At Work Behaviors, which support our purpose of bringing our heart to every moment of your health.

Career Growth Opportunities and Learning Benefits

At CVS Health, we're committed to helping our colleagues grow and develop in their careers. We offer numerous training and development opportunities, including free development courses and education assistance. As a Customer Service Representative, you will have the opportunity to develop your skills and knowledge in a dynamic and supportive environment.

How to Apply

If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website at [jobs.CVSHealth.com](http://jobs.CVSHealth.com) to learn more about this role and to submit your application. Apply for this job