Behavioral Health Customer Care Representative I

Elevance Health (Anthem); Seven Fields (Butler County); Hybrid; USD 22,000 - 33,000; Full time

Job summary

Elevance Health is seeking a Behavioral Health Customer Care Representative I to assist members with insurance benefits, provider contracts, eligibility and claims. This role supports a hybrid and virtual work setup with required in-person training sessions to onboard and develop skills.

The position requires a HS diploma and experience in automated customer service. Candidates should demonstrate strong communication, problem-solving, and multitasking abilities while using digital tools.

Qualifications

• HS diploma or equivalent required.
• Experience in an automated customer service environment.
• Ability to pass pre-employment tests.
• Strong written and verbal communication skills.

Responsibilities

• Responds to customer questions via telephone and written correspondence about benefits, contracts, eligibility and claims.
• Analyzes problems and provides information or solutions.
• Operates a PC and documents information in the database.
• Develops and maintains positive customer relations and coordinates with various functions to handle requests.
• Researches and analyzes data to address operational challenges and customer service issues.
• Uses computerized systems for tracking, information gathering and troubleshooting.

Skills

Customer service

Communication

Problem-solving

Multitasking

Empathy

Education

HS diploma or equivalent

Tools

PC skills

Database usage

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

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

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

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow‑up telephone calls / e‑mails to answer customer questions that are routine in nature.
• Uses 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

Job Family

CUS > Care Reps

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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.

We offer a range of market‑competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, den