Customer Service Representative, Behavioral Health (Monday-Friday 11:45AM-8:15PM EST)

CVS Health is committed to building a world of health around every individual, offering a compassionate health experience. The Behavioral Health Customer Service Representative provides advocate care to assist members with their care pathways, claims understanding, and education on resources, while ensuring compliance with regulatory guidelines.

Responsibilities:

• Creates an empathetic 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 by answering unasked questions
• 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

Requirements:

• 1+ years of experience in a healthcare, call center environment
• Experience using Microsoft Office products' specifically Excel, Outlook, and Word
• High School Diploma or GED
• Previous Behavioral Health, Medical, or Insurance background
• Experience working from home in a remote role