Remote Behavioral Health Customer Advocate

CVS Health Corporation; Kentucky; Hybrid; USD 23,000 - 43,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health Corporation seeks a full-time Customer Service Representative aligned with the Behavioral Health team. You will guide members through benefit plans, assist with claims, and educate on online resources in a fast-paced, supportive setting.

The role emphasizes empathetic communication, benefit understanding, and adherence to regulatory guidelines, with training and future remote work options available.

Qualifications

• 1-3 years of call center and/or customer service experience.
• 1-3 years of healthcare and/or medical insurance experience.
• Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and email/chat programs.

Responsibilities

• Takes inbound calls from members and determines the quickest, most effective ways to answer questions.
• Creates an emotional connection with members to support their health goals.
• Reviews member records within the management system to ensure accurate benefits tracking.
• Provides information and connects members with benefits and external resources.
• Explains benefits details, deductibles, and coinsurance as per plan contracts.
• Escalates complex queries when necessary to ensure resolution.
• Maintains high customer satisfaction by handling complaints professionally.
• Collaborates with the team to share solutions and improve processes.

Skills

Active listening

Time management

Communication skills

Customer service

Education

High school diploma or equivalent

Job description

CVS Health Corporation seeks a full-time Customer Service Representative aligned with the Behavioral Health team. You will guide members through benefit plans, assist with claims, and educate on online resources in a fast-paced, supportive setting.

The role emphasizes empathetic communication, benefit understanding, and adherence to regulatory guidelines, with training and future remote work options available.