Shift: Monday - Friday 9:00 AM - 5:30 PM EST

BH Customer Service Reps provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources.

The 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.

Responsibilities to include the following:

• 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.

• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.

• Performs financial data maintenance as necessary. Explains member's rights and responsibilities in accordance with contract.

Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• 1+ years customer service experience within a Call Center

atmosphere.

• Technical experience using computers, dual monitors or previous administrative experience within Health care.
• Ability to manage competing priorities/ multi-tasking.

Preferred Qualifications

• Previous Behavioral Health experience.
• Associates Degree
• Medical or Insurance background.

Education
High School Diploma or equivalent GED plus required experience.

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.