Behavioral Health Customer Care Representative I

The Elevance Health Companies, Inc.; Seven Fields (Butler County); Remote; USD 36,000 - 48,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Job summary

Elevance Health is seeking a Behavioral Health Customer Care Representative I. The role supports virtual work with in-person training, requiring commuting distance to Seven Fields, PA, and adherence to hybrid/virtual work policies.

You will respond to questions on benefits, contracts, eligibility and claims, while maintaining customer relations and documenting outcomes. The job emphasizes problem solving, data research, and multi-channel communication, with a focus on accuracy and empathy in

Qualifications

• HS diploma or equivalent required; experience in automated customer service environment preferred.
• Strong verbal and written communication skills are essential.
• Ability to analyze problems and provide information/solutions.

Responsibilities

• Respond to internal and external customer questions via telephone and written correspondence about benefits, contracts, eligibility and claims.
• Analyze problems and provide information/solutions.
• Document information, activities and changes in the database using a PC/image station.
• Maintain positive customer relations and coordinate with functions to handle requests timely.
• Research and analyze data to address operational challenges and customer service issues.

Skills

Oral communication

Written communication

Problem solving

Interpersonal skills

Customer service

Education

HS diploma or equivalent

Job description

Anticipated End Date: 2026-11-11 Position Title: Behavioral Health Customer Care Representative I

Job Description: Behavioral Health Customer Care Representative I

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Candidates must reside within a commutable distance to Seven Fields, PA. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Hours: Shift hours are Monday through Friday - 8 AM to 4:30 PM Eastern or 8:30 AM to 5 PM Eastern on a rotating schedule.

The Behavioral Health Customer Care Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact:

• Respond to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyze problems and provide information/solutions.
• Operate a PC/image station to obtain and extract information; document information, activities and changes in the database.
• Thoroughly document inquiry outcomes for accurate tracking and analysis.
• Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Research and analyze data to address operational challenges and customer service issues.
• Provide external and internal customers with requested information.
• Under immediate supervision, receive and place follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
• Use computerized systems for tracking, information gathering and troubleshooting.
• Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.

Additional expectations to include but not limited to:

• Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment;
• Strong verbal and written communication skills, both with virtual and in-person interactions;
• Attentive to details, critical thinker, and a problem-solver;
• Demonstrates empathy and persistence to resolve caller issues completely;
• Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.

Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Performs other duties as assigned.

Minimum Qualifications: Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences: For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Job Level: Non-Management Non-Exempt Workshift: Job Family: CUS > Care Reps

Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Benefits:

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical
• Dental
• Vision
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health.

We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Please visit the Contract Worker Community Page.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.