Customer Service Representative, CVS Health

Customer Service Representative

CVS Health

Location:
United States, Houston ▼
Phoenix

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

Customer Service Representative role at CVS Health's Center of Excellence Customer Service group, serving as the face of Aetna and impacting members' service experience through handling customer inquiries and problems via telephone, internet or written correspondence.

Job Responsibility:

Handle customer service inquiries and problems via telephone, internet or written correspondence
Engage, consult and educate members based on their unique needs and preferences
Answer questions and resolve issues from members, providers, and plan sponsors
Document and track contacts with members, providers and plan sponsors
Guide members through their plan benefits and Aetna policies
Process claim referrals, new claim handoffs, nurse reviews, complaints, grievance and appeals
Educate providers on self-service options
Assist providers with credentialing and re-credentialing issues
Respond to litigation requests
Handle extensive file review requests
Assist in complaint trend reports and claim data compilation
Determine medical necessity and verify member plan eligibility

Requirements:

Customer Service experiences in a transaction based environment such as a call center or retail location
Experience in a production environment
High School diploma, G.E.D. or equivalent experience

Nice to have:

Ability to multi-task to accomplish workload efficiently
Understanding of medical terminology
Strong oral and written communication skills
Ability to maintain accuracy and production standards
Problem solving and analytical skills
Strong attention to detail and accuracy

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 26, 2025

Expiration:
September 14, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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