Customer Service Representative
at CVS Health
Richmond, VA
Posted: 12-18-2024
Customer and Client Support
$53,196/year
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EDUCATIONAL BENEFITS
Tuition Reimbursement
OTHER BENEFITS
Healthcare, 401 K Retirement Plan, Career Development
EDUCATIONAL BENEFITS
Tuition Reimbursement
OTHER BENEFITS
Healthcare, 401 K Retirement Plan, Career Development
About this Career
Customer Service Representatives
Skills
Customer Service, Advocacy, Customer Inquiries, Development Environment, Self Service Technologies, Compassion, Call Center Experience, Billing, Accountability, Empathy
Job Description
CVS Health Customer Service Representative in Richmond
, Virginia 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. Position Summary
- Dental Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone.
- Customer inquiries are of basic and at times complex in nature.
- Engages, consults and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care.
- Answers questions and resolves issues based on phone calls from members, providers, and plan sponsors.
- Triages resulting rework to appropriate staff.
- Documents and tracks contacts with members, providers and plan sponsors.
- The Dental 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.
- 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.
- Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.
- Uses customer service threshold framework to make financial decisions to resolve member issues.
- Explains member's rights and responsibilities in accordance with contract.
- Educates providers on our self-service options.
- Advocating for the member to take them out of the middle, resolving billing conflicts. Required Qualifications
- Customer Service experiences in a transaction-based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.
- Experience in a production environment.
Other Job Posting Details
Salary
Minimum
Maximum
$35,360/yr
$71,032/yr