Customer Service Representative - Remote in Charleston, WV

CVS Health Corporation; Charleston (WV); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading health solutions company as a Customer Service Representative in a remote role based in Charleston, WV. This position focuses on providing exceptional service to Aetna Medicaid members and providers, ensuring their inquiries are handled with care and efficiency. You will be part of a passionate team dedicated to transforming health care, with a commitment to fostering a supportive and inclusive workplace. Enjoy a competitive pay range and a comprehensive benefits package designed to support your well-being and career growth. If you're ready to make a difference in the lives of others, this is the opportunity for you.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings

Tobacco cessation programs

Weight management programs

Confidential counseling

Financial coaching

Paid time off

Tuition assistance

Qualifications

• Strong customer service skills required for handling inquiries.
• Ability to communicate effectively with members and providers.

Responsibilities

• Answer incoming member and provider calls regarding benefits.
• Assist with eligibility and prior authorization inquiries.

Skills

Customer Service

Effective Communication

Problem Solving

Education

High School Diploma or GED

Job description

Customer Service Representative - Remote in Charleston, WV page is loaded

Customer Service Representative - Remote in Charleston, WV

Apply remote type Remote locations WV - Charleston time type Full time posted on Posted 2 Days Ago time left to apply End Date: May 16, 2025 (13 days left to apply) job requisition id R0574489

At CVS Health, 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 reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

*Must live within 50 miles of Charleston, WV

*Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday

*Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday

As a Member Service Representative, you will be providing telephone assistance to Aetna Medicaid members and providers. You will assist with an array of inquiries such as eligibility, provider changes, and requests for ID cards. We strive to provide an excellent experience to our callers each and every time. Calls are inbound and strong customer skills are required to be successful in this role.

Responsibilities include but limited to the following:

- Answering in-coming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.

- Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted.

- Company provides equipment and training.

Required Qualifications

- Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems

- Ability to communicate effectively with members and providers orally and in written form, ability to meet performance standards, attendance requirements and call quality goals
- Must be able to work from home and prove to be self-sufficient

Preferred Qualifications

- Experience with working remotely in a call center setting
- Experienced with Medicaid and Medicare

Education

- High school diploma or equivalent GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $25.65

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

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 all 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 access 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 close on: 05/16/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

About us

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.