Provider Customer Service Representative

About the position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.

Responsibilities

  • Actively listen and be an advocate for customers, understand their needs and provide guidance and support
  • Resolve customer inquiries and issues efficiently while documenting all interactions.
  • Educate customers about available resources and assist them in navigating their options.
  • Anticipate customer needs and provide proactive solutions to enhance satisfaction.
  • Collaborate with team members and other departments to address service issues and improve outcomes.
  • Document all customer correspondence and maintain confidential records of patient information.
  • Follow policies, procedures, and the CVS/Aetna Code of Conduct.

Requirements

  • 6+ months of customer service experience.
  • Basic computer skills.
  • High-speed internet access (100mbs) with adherence to workplace model and potential telework agreements.
  • Willingness to work specific hours, with flexibility.
  • High School Diploma, GED, or equivalent experience.

Nice-to-haves

  • 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role.
  • Microsoft office experience preferred.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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