Remote Customer Service Specialist Health Insurance Billing

CVSHealth; Ohio; Remote; USD 23,000 - 47,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health, serving Omnicare and long‑term care facilities, seeks a Customer Service Representative to provide phone-based support for residents, families, and facilities, ensuring accurate billing, payment processing, and regulatory compliance. The role emphasizes high-quality service, issue resolution, and collaboration across departments.

The position requires call-center experience, health-insurance billing knowledge, and the ability to work remotely in a full-time schedule, 40 hours weekly,

Qualifications

• 1+ year of experience in a high-volume call center environment.
• 1+ year of experience with health insurance billing, including Medicaid, Medicare, and/or Medicare Part D.
• 1+ year of experience in a remote, work-from-home environment.
• Willingness to work Monday–Friday, 8:30am–6:30pm EST.
• Proficiency in using multiple systems and Microsoft Office (Outlook, Word, Excel).

Responsibilities

• Serve as the primary customer support resource for long-term care residents, responsible parties, and facility staff regarding account inquiries and billing concerns.
• Collect, review, and verify account-specific information including billing details, insurance coverage, payer information, and applicable coding.
• Maintain and document customer account activities within servicing platforms.
• Review account status to verify accuracy and drive resolution.
• Make outbound calls to reconcile account issues and resolve balances.
• Process customer payments accurately and follow up to ensure proper posting.
• Research and resolve billing questions and payment concerns professionally.
• Maintain detailed documentation of all customer interactions and activity.
• Ensure compliance with regulations, policies, and privacy standards.
• Participate in corporate campaigns and projects supporting organizational goals.
• Collaborate with internal departments to resolve concerns and improve service delivery.
• Meet performance, quality, and productivity standards while delivering a positive customer experience.
• Perform other duties as needed.

Skills

High-volume call center experience

Health insurance billing (Medicaid/Med

Remote work from home

MS Office (Outlook/Word/Excel)

Time management / multitasking

Education

High school diploma or GED

Associate’s degree

Tools

Microsoft Office

Job description

CVS Health, serving Omnicare and long‑term care facilities, seeks a Customer Service Representative to provide phone-based support for residents, families, and facilities, ensuring accurate billing, payment processing, and regulatory compliance. The role emphasizes high-quality service, issue resolution, and collaboration across departments.

The position requires call-center experience, health-insurance billing knowledge, and the ability to work remotely in a full-time schedule, 40 hours weekly,