Customer Service Representative Dental, CVS Health

CVS Health

Location:
United States, Work At Home, Arizona

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Dental Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone
Engages, consults and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care
Answers questions and resolves issues based on phone calls from members, providers, and plan sponsors
Triages resulting rework to appropriate staff
Documents and tracks contacts with members, providers and plan sponsors
The Dental 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
Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc
Uses customer service threshold framework to make financial decisions to resolve member issues
Explains member's rights and responsibilities in accordance with contract
Educates providers on our self-service options
Advocating for the member to take them out of the middle, resolving billing conflicts

Requirements:

Customer Service experiences in a transaction-based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate
Experience in a production environment
High School Diploma or Equivalent

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
June 13, 2025

Expiration:
June 23, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Customer Service Representative Dental

CVS Health

Location:United States, Work At Home, Arizona

Category:Customer Service

Contract Type:Employment contract