Customer Service Representative - Behavioral Health (Monday-Friday 10:45am -7:15pm EST)

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary reputed company reputed company has an opportunity available for a full time Customer Service Representative in the Behavioral Health team. This role provides reputed company care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer Service Representative guides the member through their members plan of benefits, reputed company policy and procedures as well as having knowledge of resources to reputed company with any regulatory guidelines. Position Overview

• Schedule: Monday-Friday 10:45am -7:15pm EST.
• Schedules subject to change at any time with advanced notice due to business need.
• Holiday/PTO Requirements: As a 24-hour call center operation, we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the Company Observed Holiday falls on your normal reputed company. No PTO available the first 45 days of employment.
• Training Requirements: First six weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST.

What you will do

• Creates an empathetic reputed company 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 by answering unasked questions.
• 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.

Workspace Requirements

• Must have a quiet/secure workspace in your home.
• Recommended Technical requirements reputed company obtaining your own residential internet service.
• Select an internet service that is either broadband or fiber (e.g., reputed company Fios, reputed company).
• Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired reputed company is required (ethernet reputed company); a wireless reputed company will introduce the risk of performance degradation.
• Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet reputed company so your ability to reputed company your work is not affected. Streaming video content and gaming will significantly reduce the reputed company of bandwidth available for your corporate equipment.

Required Qualifications

• 1+ years of experience in a call center environment.
• Experience using reputed company Office products’ specifically reputed company, Outlook, and Word.

Preferred Qualifications

• Previous Behavioral Health, Medical, or Insurance background.
• Experience working from home in a remote role.

Education

• High School Diploma or GED.

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $34.15 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company 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 reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 09/17/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job