Customer Service Representative - Remote in Charleston, WV

Lensa; Charleston (WV); Remote; Full time

Job summary

A leading health solutions company is seeking a Customer Service Representative to provide assistance to Medicaid members and providers. This remote position requires strong communication skills and the ability to work independently. Applicants must live within 50 miles of Charleston, WV. Comprehensive benefits are offered, including medical plans and flexible schedules.

Benefits

Medical plans

401(k)

Stock purchase plans

Wellness programs

Paid time off

Flexible schedules

Qualifications

• Ability to work independently from home.
• Must commute to Charleston, WV office if unable to work remotely.

Responsibilities

• Answering inbound member and provider calls regarding benefits and eligibility.
• Providing telephone assistance to Aetna Medicaid members and providers.

Skills

Effective communication skills

Customer service skills

Education

High school diploma or GED equivalent

Job description

Customer Service Representative - Remote in Charleston, WV

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Lensa is the leading career site for job seekers at every stage of their career. Our client, CVS Health, is seeking professionals. Apply via Lensa today!

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 more connected, more convenient, and more compassionate. 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 provide telephone assistance to Aetna Medicaid members and providers. Responsibilities include inquiries about eligibility, provider changes, and ID requests. Strong customer skills are essential as calls are inbound, and delivering an excellent caller experience is a priority.

Responsibilities Include But Not Limited To

• Answering inbound member and provider calls regarding benefits, eligibility, services, prior authorization, and additional programs.
• Requires high-speed internet with secure Ethernet connection; Wi-Fi is not permitted.
• Company provides equipment and training.

Required Qualifications

• Must commute to Charleston, WV office if unable to work remotely due to technical issues.
• Effective communication skills, ability to meet performance, attendance, and call quality standards.
• Ability to work independently from home.

Preferred Qualifications

• Experience working remotely in a call center environment.
• Experience with Medicaid and Medicare.

Education

• High school diploma or GED equivalent.

Additional Details

• Weekly hours: 40
• Employment type: Full-time
• Pay range: $17.00 - $25.65 per hour, depending on experience and other factors.

We offer comprehensive benefits including medical plans, 401(k), stock purchase plans, wellness programs, paid time off, flexible schedules, and more. For details, visit https://jobs.cvshealth.com/us/en/benefits.

Application deadline: 05/16/2025. Qualified applicants with criminal records will be considered per legal requirements. We are an equal opportunity employer.