Location: fully Remote Irving, TX, Saint Louis MO, Wichita KS, Baton Rouge, LA, Hartford, CT, Trenton, NJ, Southfield, MI,Columbus, OH, Chicago, IL, Austin, TX, Sacramento, CA, Doral, FL.
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. Read employee reviews here
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- $1000 Sign-On Bonus
Position Summary
This is a work at home opportunity for candidates located in the Pacific/Mountain time zone (30) and Eastern time zone (30). This position also includes a $1000 sign-on bonus as well as an additional $2000 90 days post-training! (Bonuses are only applicable to specific positions, locations, and business groups. Applicable roles have the bonus language in the job posting.) • Customer Service Representative is the face of Aetna and impacts members' service experience by the manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. • Customer inquiries are of basic and at times complex 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/letters from members, providers, and plan sponsors. • Triages resulting rework to appropriate staff. • Documents and tracks contacts with members, providers, and plan sponsors. • The CSR guides the member through their member's 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.
Remote $1k sign-on bonus!
Position Summary 100% work-from-home opportunity! $1,000 sign-on bonus PLUS a $2,000 bonus after 90 days of training! Class starts - Jan. 3rd English-speaking Customer Service Representatives answer inquiries from our Medicare Advantage members via inbound calls, internet inquiries, and written correspondence. CSRs must be able to deal compassionately with Medicare beneficiaries on a one-on-one basis and focus on their needs through careful listening and patience. CSRs participate in ongoing training and engage in self-development.
Required Qualifications High School diploma, G.E.D. or equivalent experience
Preferred Qualifications English speaking only
Education High School diploma, G.E.D. or equivalent experience
Business Overview At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.
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.
Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion 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.
Required Qualifications
Customer Service experiences in a transaction-based environment such as a call center or retail location are preferred, demonstrating the ability to be empathetic and compassionate. Experience in a production environment. High School or GED equivalent.
Preferred Qualifications Ability to multi-task to accomplish workload efficiently. Understanding of medical terminology. Oral and written communication skills. Ability to maintain accuracy and production standards. Problem-solving skills. Attention to detail and accuracy. Analytical skills.
Education High School diploma, G.E.D. or equivalent experience
The fast-paced deadline-driven position requires attention to detail and the ability to multi-task. The CCR promotes a positive team environment, continuously evaluating and identifying opportunities to drive process improvements that positively impact the participant experience and align to the goals and objectives of the company as well as the internal customers – and requires team orientation and the ability to work with others.
As a Customer Care Representative, you must also be able to effectively handle complaints while consistently demonstrating behaviors that contribute to Care’s achievement of service level goals. CCR’s work collaboratively with internal and external business partners to provide solutions by taking responsibility for following through and bringing outstanding issues to closure on the initial contact with the participant
Required Qualifications
6 months experience in a customer service role (i.e. call center, retail, customer service environment or relevant military experience).
Job Description As a Customer Service Representative, you will deliver consistent, high-quality customer service to all Aetna, Inc. constituents and employees by providing accurate, prompt and courteous call direction across all lines of business in the Corporate Contact Center while adhering to your schedule and meeting or exceeding your metrics. Fundamental Components of the Customer Service Representative role include, but are not limited to: Answer and direct calls from contingents at the Corporate Switchboard. Educate members and providers in self-service options. Meet personal and department goals. Work in a team environment, assist peers and follow department procedures. Must be available to work hours needed.
Required Qualifications – Ability to multi-task to accomplish workload efficiently. – Oral and written communication skills. – Ability to maintain accuracy and production standards. – Technical skills. – Problem-solving skills. – Attention to detail and accuracy.
Preferred Qualifications – Negotiation skills. – Analytical skills.
Education High School Diploma
Job Description Customer Service is the important first line of contact with customers, setting the tone for how members, doctors and plan sponsor groups view our company. It provides members with the right information at the right time to help them make better decisions about their health and health care. Responsible for providing telephonic support to members and those acting on members' behalf by responding to routine inquiries concerning eligibility information and benefit clarification. Work is performed within a team environment.
Required Qualifications Previous experience in a customer support role Strong phone and verbal communication skills along with active listening Familiarity with computer systems and practices Customer focus and adaptability to different personality types Ability to multi-task, set priorities and manage time effectively High school degree
Preferred Qualifications Previous work experience in a computer-based office environment required. Ability to absorb and apply new and changing information. Knowledge of basic medical terminology preferred. Effective verbal and written communications skills Ability to remain flexible yet focused during stressful situations. Strong listening and interpersonal skills; skilled at developing and maintaining effective working relationships. Effective keyboard skills; able to navigate within a computer/systems-dependent environment without assistance; previous experience in a windows-based computer environment preferred. Customer Service experiences in a transaction-based environment such as a call center or retail location are preferred.
Education High School Diploma or equivalent.
The CSR guides the member through their member's 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 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.
Required Qualifications
Customer Service experiences in a transaction-based environment such as a call center or retail location are preferred, demonstrating the ability to be empathetic and compassionate. Experience in a production environment. High School or GED equivalent.
Preferred Qualifications Ability to multi-task to accomplish workload efficiently. Understanding of medical terminology. Oral and written communication skills. Ability to maintain accuracy and production standards. Problem-solving skills. Attention to detail and accuracy. Analytical skills.
Education High School diploma, G.E.D. or equivalent experience
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Job Description The Customer Service Representative is the face of Aetna and impacts members’ service experience by handling customer service inquiries and problems via telephone, internet, or written correspondence. Customer inquiries are of basic and at times complex nature. CSR engages, consults and educates members based upon the member’s unique needs, preferences and understanding while using tools and resources available to help guide the members along a clear path to care.
Required Qualifications -Customer service experience in a transaction-based environment such as a call center or retail location
Preferred Qualifications -Trauma-informed care training -Exposure to Care Management -Experience in a production environment -Familiarity with de-escalations -1-2 years of Healthcare or Medicaid experience -Telework experience
Education -High School Diploma or GED equivalent
Job Description ** Available Shift: M-F 8:30 AM – 5:00 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. • 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 members’ rights and responsibilities in accordance with the contract.
Required Qualifications • 1-3 years customer service experience within a Call Center atmosphere.
Preferred Qualifications • Previous Behavioral Health experience. • Associates Degree • Medical or Insurance background.
Education • High School Diploma
$1,000 sign-on bonus!
Position Summary 100% work-from-home opportunity! $1,000 sign-on bonus PLUS a $2,000 bonus after 90 days of training! Class starts - Jan. 3rd English-speaking Customer Service Representatives answer inquiries from our Medicare Advantage members via inbound calls, internet inquiries, and written correspondence. CSRs must be able to deal compassionately with Medicare beneficiaries on a one-on-one basis and focus on their needs through careful listening and patience. CSRs participate in ongoing training and engage in self-development.
Required Qualifications High School diploma, G.E.D. or equivalent experience
Preferred Qualifications English speaking only
Education High School diploma, G.E.D. or equivalent experience
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive, and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
$1,000 sign-on bonus!
Position Summary Customer Service Representative is the face of Aetna/Mercy Care and impacts members' service experience by the manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. Customer inquiries are of basic and at times complex 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/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors. 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. 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. Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues. Responds to requests received from Aetna's Law Document Center regarding litigation; lawsuits Handles extensive file review requests. Assists in preparation of complaint trend reports. Assists in compiling claim data for customer audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data maintenance as necessary. Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.
Required Qualifications Customer Service experiences in a transaction-based environment such as a call center or retail location preferred, demonstrating the ability to be empathetic and compassionate. Experience in a production environment. High School or GED equivalent.
$1000 sign-on-MUST RESIDE IN THE PHOENIX, AZ METRO AREA
Position Summary MUST RESIDE IN THE PHOENIX, AZ METRO AREA This position is based in Phoenix, AZ and the ability to telework full time is required. Working on the weekends (both Saturday and Sunday) and on holidays is required. The 2nd Shift CSR hours are from 2:55 PM-11:25 PM on the weekdays. On the weekends, the hours vary. During Daylight Saving Time in the spring, the start time shifts to one hour earlier. The 2nd Shift CSR works in the Afterhours Centralized Call Center and supports multiple Aetna Medicaid state health plans across the country. The CSR researches and provides accurate information in response to member and provider questions and inquiries. The CSR demonstrates excellent attendance and reliability.
Required Qualifications - Work will be remote - Must be within 50 miles of the Phoenix location - Minimum of two years in customer service, preferably in a call center - Proficient at multitasking - especially at using various multiple computer applications at once - Experience with working remotely is a plus - Excellent attendance and reliability - Demonstrated ability to consistently achieve performance standards - Proficient at basic computer functionalities and troubleshooting - Proven success with using resources to provide solutions.
Job Description Customer Service is the important first line of contact with customers, setting the tone for how members, doctors and plan sponsor groups view our company. It provides members with the right information at the right time to help them make better decisions about their health and health care. Responsible for providing telephonic support to members and those acting on members' behalf by responding to routine inquiries concerning eligibility information and benefit clarification. Work is performed within a team environment.
Required Qualifications Previous experience in a customer support role Strong phone and verbal communication skills along with active listening Familiarity with computer systems and practices Customer focus and adaptability to different personality types Ability to multi-task, set priorities and manage time effectively High school degree
Preferred Qualifications
Previous work experience in a computer-based office environment is required.
Ability to absorb and apply new and changing information.
Knowledge of basic medical terminology is preferred.
Effective verbal and written communications skills
Ability to remain flexible yet focused during stressful situations.
Strong listening and interpersonal skills; skilled at developing and maintaining effective working relationships.
Effective keyboard skills; able to navigate within a computer/systems-dependent environment without assistance; previous experience in a windows-based computer environment preferred.
Customer Service experiences in a transaction-based environment such as a call center or retail location are preferred.
Remote in Phoenix, AZ – $1000 sign on
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