Customer Service Representative - Behavioral Health, CVS Health

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 34.15 USD / Hour

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Job Description:

CVS/Aetna has an opportunity available for a full-time Customer Service Representative on the Behavioral Health team. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution, and education on virtual resources. The Customer Service Representative guides the member through their member's plan of benefits and Aetna policy & procedures, as well as having knowledge of resources to comply with any regulatory guidelines.

Job Responsibility:

Create an emotional connection with our members by understanding and engaging the member to the fullest
Take accountability to fully understand the member's needs by building a trusting and caring relationship
Anticipate customer needs
Perform review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
Perform financial data maintenance as necessary
Explain member's rights and responsibilities in accordance with contract
Provide advocate care to assist the member with a clear path to care, claims understanding and resolution, and education on virtual resources
Guide the member through their member's plan of benefits and Aetna policy & procedures

Requirements:

1+ year of experience in a call center environment
Previous experience using Microsoft Office products, specifically Excel, Outlook, and Word
High school diploma or GED
Must have a quiet and secure workspace in your home
Recommended technical requirements when obtaining your own residential internet service: Select an internet service that is either broadband or fiber
Select a minimum of 25mbps/3mbps
A hardwired connection is required (ethernet connection)

Nice to have:

Previous behavioral health, medical, or insurance experience
Previous experience working from home in a remote role

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program

Additional Information:

Job Posted:
October 21, 2025

Expiration:
November 03, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Customer Service Representative - Behavioral Health