Available schedule: 10:00 AM - 6:30 PM EST
BH Customer Service Reps provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources.
The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
• Creates an emotional 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.
• 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.
Holiday Requirement: As a 24 hour call center operation, every staff is required to work 2 company observed holidays a year including 1 summer holiday (Memorial Day, Independence Day, Labor Day) and 1 winter holiday (Thanksgiving, Christmas, New Year's Day). Martin Luther King, Jr holiday is considered a normal work day however can be requested off.
- 1-3 years customer service experience within a Call Center
- Previous Behavioral Health experience.
- Associates Degree
- Medical or Insurance background.
High School Diploma
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Apply on company website