Note: The job is a remote job and is open to candidates in USA. CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. As a Member Service Representative, you will provide telephone assistance to Aetna Medicaid members and providers, addressing inquiries related to benefits, eligibility, and services while ensuring an excellent experience for callers.
Responsibilities
- Answering in-coming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc
- Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted
- Company provides equipment and training
Skills
- Must live on eastern seaboard
- Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday
- Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday
- Must identify an alternate work location when unable to work from home
- Ability to communicate effectively with members and providers orally and in written form, ability to meet performance standards, attendance requirements and call quality goals
- Must be able to work from home and prove to be self-sufficient
- Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted
- High school diploma or equivalent GED
- Experience with working remotely in a call center setting
- Experienced with Medicaid and Medicare
Benefits
- 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
Company Overview
CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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