- Must live within 50 miles of Richmond, VA
- 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
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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 WiFi is not permitted.
- Company provides equipment and training.
This position is part of Service Operations
Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90
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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/benefits
Required Qualifications
- Must reside within 50 miles of Richmond, VA.
- 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
HS Diploma or Equivalent
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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