Call Center Specialist jobs at Walgreens - 897 jobs
Resolution Center - Remote Call Center Specialist
Walgreens 4.4
Call center specialist job at Walgreens
We are seeking a dedicated Resolution Center - Remote CallCenterSpecialist to join our team. As a key member of our customer service department, you will play a crucial role in resolving customer inquiries and concerns while working remotely. This position offers an exciting opportunity to contribute to our company's commitment to exceptional customer satisfaction.
Handle incoming customer calls, emails, and chat messages with a friendly and empathetic approach
Identify and resolve customer issues efficiently and effectively
Escalate complex problems to appropriate departments when necessary
Maintain accurate records of customer interactions and follow-up actions
Collaborate with team members to share knowledge and best practices
Meet or exceed performance metrics related to call handling time, customer satisfaction, and resolution rates
Stay updated on company policies, products, and services to provide accurate information to customers
Participate in ongoing training and development programs to enhance customer service skills
Qualifications
Excellent verbal and written communication skills with a focus on clarity and empathy
Strong problem-solving abilities and attention to detail
Proficiency in customer service software and CRM systems
Demonstrated ability to multitask and manage time effectively in a fast-paced environment
Self-motivated with the ability to work independently in a remote setting
Previous experience in customer service or callcenter environment
Experience with remote work preferred
High school diploma or equivalent required; customer service certification a plus
In-depth knowledge of customer service best practices and conflict resolution techniques
Ability to maintain a professional and supportive demeanor in challenging situations
Comfortable with technology and ability to troubleshoot basic technical issues
Additional Information
All your information will be kept confidential according to EEO guidelines.
$27k-30k yearly est. 34m ago
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Customer Service Associate - Temporary
Walgreens 4.4
Call center specialist job at Walgreens
* Models and delivers a distinctive and delightful customer experience. * Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Customer Experience * Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience.
* Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Operations
* Provides customers with courteous, friendly, fast, and efficient service.
* Recommends items for sale to customer and recommends trade-up and/or companion items.
* Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed.
* Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader.
* Implements Company asset protection procedures to identify and minimize profit loss.
* Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products).
* Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed.
* Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs.
* Has working knowledge of store systems and store equipment.
* Provides customer service in the photo area, including digital passport photo service, poster print and creative machine, suggestive sell of promotional photo products.
* Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store).
* Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance.
* Complies with all company policies and procedures; maintains respectful relationships with coworkers.
* Completes special assignments and other tasks as assigned.
Training & Personal Development
* Attends training and completes PPLs requested by Manager or assigned by corporate.
Basic Qualifications
* Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico)
* Requires willingness to work flexible schedule, including evenings and weekend hours.
Preferred Qualifications
* Prefer six months of experience in a retail environment.
* Prefer to have prior work experience with Walgreens.
The following information is applicable for San Francisco, CA applicants: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
An Equal Opportunity Employer, including disability/veterans.
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits
Salary Range: $15 - $17.5 / Hourly
$15-17.5 hourly 10d ago
Remote Call Center Sales Representative (Texas & Florida)
Sears 4.3
San Antonio, TX jobs
As a Telephone Sales Representative you will sell high value products, such as appliance maintenance agreements, to customers of Sears and other clients. If you bring the influencing skills and motivation to excel, passionate customer focus, and integrity in all you do, we'll provide training, a fun and engaging environment, and outstanding compensation potential for your success.
Apply 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 uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Starting hourly rate $15.00, with unlimited bi-weekly commission potential.
10 days of required paid training (Monday-Friday, 8AM-4:30PM CST.)
Callcenter hours of operation are Monday-Sunday 7AM - 7PM, actual shift will be determined at time of hire.
Competitive benefits, PTO, tuition reimbursement, and more!
How will this role have an impact?
At Signify Health, we value and seek exceptional thinkers with the heart and humility to match. Join us on a mission to improve lives and make a lasting difference.
As a Member Engagement Coordinator you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation. You will work diligently to meet department productivity, quality, and customer service goals.
This role will report to a Member Engagement Manager.
What will you do?
Make an average of 50 outbound calls per hour placed by an automatic dialer system to offer, explain, and schedule a free in-home or virtual health evaluation with a provider
Follow 20+ approved scripts, ensure members understand and are comfortable with the terms, and respond to rebuttals persuasively and with professional courtesy
Present a positive, professional, and high energy approach to clients, health plan members, and team members
Meet daily goals set by the department (i.e., 300-400 outbound dials per day, 24 appointments set per day, shift and attendance policy adherence, quality targets, etc.) in an office or remote environment
Adjust, reschedule, and cancel appointments with both members and contracted providers, as requested
Monitor performance results including appointments, calls, handle time, and productivity using designated reporting systems
Report member complaints and escalations immediately to Member Engagement Managers
Participate in peer side-by-side coaching as needed
Follow HIPAA and other security and privacy guidelines when handling protected health information accessed during normal work activities
We are looking for someone with:
A High School Diploma or equivalent is preferred
1+ year callcenter experience OR 2+ years general work experience required
Previous outbound callcenter or high volume experience working in a metrics driven environment, with an auto dialer, and/or using scripts is preferred
A desire to work in an efficient, results-oriented outbound callcenter environment
Persuasive with the ability to rebuttal while treating all health plan members with professional courtesy
Good communication skills, friendly and conversational
Ability to adhere to a fixed daily schedule, including start, breaks, lunch, and end times
Strong computer skills and the ability to use multiple systems at the same time, while making calls
Benefits:
Medical, Dental and Vision plans, Insurance starts the 1st of each month after the start date
Bi-weekly pay with monthly commission bonus potential
401K, employee stock purchase program and tuition reimbursement
Employee discount programs
Work From Home Requirements:
To qualify, you must have verified and reliable internet service with 10MB upload/download ability available in your home.
The company will provide equipment (keyboard, monitor, computer, headset, etc.). All applicants must provide their own workspace furniture and ensure a quiet workspace.
Conditions of Employment:
Successful completion of background check is required for this position.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$15.00 - $26.93
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 *****************************************
We anticipate the application window for this opening will close on: 02/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$15-26.9 hourly Auto-Apply 10d ago
Customer Service Representative - Behavioral Health (Monday-Friday 10:30am - 7:00pm EST)
CVS Health 4.6
Remote
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
CVS Aetna has an opportunity available for a full time Customer Service Representative in the Behavioral Health team. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer Service Representative guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
Position Overview
Schedule: Monday-Friday 10:30am - 7:00pm EST.
*Schedules subject to change at any time with advanced notice due to business need.
Holiday/PTO Requirements: As a 24-hour callcenter operation, we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the Company Observed Holiday falls on your normal workday. No PTO available the first 45 days of employment.
Training Requirements: First six weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST.
What you will do
Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.
Anticipates customer needs.
Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
Performs financial data maintenance as necessary.
Explains member's rights and responsibilities in accordance with contract.
Workspace Requirements
Must have a quiet/secure workspace in your home.
Recommended Technical requirements when obtaining your own residential internet service.
Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast).
Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation.
Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment.
Required Qualifications
1+ years of experience in a callcenter environment.
Experience using Microsoft Office products' specifically Excel, Outlook, and Word.
Preferred Qualifications
Previous Behavioral Health, Medical, or Insurance background.
Experience working from home in a remote role.
Education
High School Diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $34.15
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.
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 *****************************************
We anticipate the application window for this opening will close on: 01/20/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17-34.2 hourly Auto-Apply 3d ago
Customer Service Representative (Remote EST)
CVS Health 4.6
Ohio jobs
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:
We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers. Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare. In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being. You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources. This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions.
As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction. Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.
Key Responsibilities:
Actively listen and be an advocate for customers, understand their needs and provide guidance and support
Resolve customer inquiries and issues efficiently while documenting all interactions.
Educate customers about available resources and assist them in navigating their options.
Anticipate customer needs and provide proactive solutions to enhance satisfaction.
Collaborate with team members and other departments to address service issues and improve outcomes.
Document all customer correspondence and maintain confidential records of patient information.
Follow policies, procedures, and the CVS/Aetna Code of Conduct.
Your performance will be measured by:
Customer satisfaction with the service you provide.
Demonstrating CVS/Aetna's “Heart at Work” behaviors including Putting People First, Joining Forces, and Inspiring Trust.
Your ability to resolve customer issues the first time they call.
Quality and accuracy of interactions with customers.
Reporting to work and adhering to your assigned schedule.
Our Leadership and Welcome Teams will help you succeed by providing:
New colleague orientation to learn about our company and your role.
Engaging and comprehensive training ranging from 4 to 18 weeks depending on the customers supported.
A supportive and inclusive culture that will allow for continuous learning and growth.
Ongoing coaching and mentoring support.
Equipment and resources needed to complete assigned work.
Key Competencies and Behavioral Requirements:
Demonstrated empathy and effective communication skills.
Respectful and kind demeanor in all communications while being an advocate for our customers
Strong problem-solving and decision-making abilities.
Ability to manage multiple resources and tasks in a fast-paced environment.
Required Qualifications:
6+ months of customer service experience
Basic computer skills
Must reside in the Eastern Standard Time Zone.
Preferred Qualifications:
1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role
1+ years of claims, provider, dental, medical or other related healthcare experience
Microsoft office experience preferred
Education:
High School Diploma, GED, or equivalent experience.
You must have:
High-speed internet access with adherence to workplace model and potential telework agreements.
Willingness to work specific hours, with flexibility
This position pays $18.50/hour.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $28.46
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 *****************************************
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17-28.5 hourly Auto-Apply 6d ago
Customer Service Representative
CVS Health 4.6
Remote
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
Overview:
This position is for non-licensed individuals who will be responsible for leading both inbound and outbound call efforts building connections utilizing exceptional customer service skills.
Job Responsibilities:
• Conduct designed outbound multi-touch member retention and engagement campaigns for a designated book of business.
• Be the advocate for our members by taking ownership, acting with empathy, and helping our members resolve their situation the first time.
• Provide our members with a personalized and rewarding experience by helping our members to feel valued, empowered and understood.
• Leverage resources and technology to optimize the member experience. Demonstrate ability to real-time problem-solve and navigate multiple computer applications while interacting with the member over the phone or while on video conference.
• Ensuring that the detailed call information is captured in Customer Relationship Management system (CRM) and appropriate dispositioning.
• Meet/Exceed basic callcenter metrics and expectations consistently (quality, adherence, campaign outcomes, attendance, etc.)
• Work effectively within a team and across the organization, to further the goals of the business.
• Building skills through team meetings, 1x1 coaching, call calibrations, peer coaching's etc.
• Work in a professional, fast-paced environment that requires attention to detail, accuracy, multi-tasking, and clear concise communication.
• Contacting prospective new members through outbound and inbound calls to establish a lead generation pipeline for licensed agents utilizing scripting to assess customer needs for products and services using insightful, probing questions and demonstrating superior listening skills
• Other duties as assigned
Required Qualifications
• Strong understanding of products, services, and processes offered by the company
• Self-driven goal-oriented individual with the desire to go above and beyond for a consumer while meeting business metrics
• Displays passion, integrity, commitment, and drive to deliver a positive, differentiated experience that improves our members' lives.
• Ability to engage with members-begin a conversation, anticipate what questions a member might have, share information using plain language, build rapport, and handle objectives
• Displays empathy and resilience when dealing with our members who need help
• Gains our members trust and respect by establishing and maintaining effective relationships
• Attention to detail and excellent interpersonal skills
• Discretion in handling and communicating sensitive information
• Ability to manage multiple projects at once in a fast-paced environment
• A positive attitude and willingness to do whatever it takes to get the job done
Preferred Qualifications
4-year college degree
• 2 to 3 years in a Customer Service capacity
• Demonstrated Self-starter with positive attitude and ability to control emotions when dealing with unhappy customers (i.e.. “Customer is always right” attitude)
• Adoptable to high pressure, achievement-oriented environment
• High level of computer proficiency including, but not limited to, Microsoft Office package and ability to multitask while on the phone.
• Bilingual in English, Spanish a plus
Education
High School Diploma or Equivalent
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $28.46
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.
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 *****************************************
We anticipate the application window for this opening will close on: 02/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17-28.5 hourly Auto-Apply 12d ago
Outbound Call Center Rep (Remote)
CVS Health 4.6
Ohio jobs
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.
Starting hourly rate $15.
00, with unlimited bi-weekly commission potential.
10 days of required paid training (Monday-Friday, 8AM-4:30PM CST.
) Callcenter hours of operation are Monday-Sunday 7AM - 7PM, actual shift will be determined at time of hire.
Competitive benefits, PTO, tuition reimbursement, and more! How will this role have an impact?At Signify Health, we value and seek exceptional thinkers with the heart and humility to match.
Join us on a mission to improve lives and make a lasting difference.
As a Member Engagement Coordinator you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation.
You will work diligently to meet department productivity, quality, and customer service goals.
This role will report to a Member Engagement Manager.
What will you do?Make an average of 50 outbound calls per hour placed by an automatic dialer system to offer, explain, and schedule a free in-home or virtual health evaluation with a provider Follow 20+ approved scripts, ensure members understand and are comfortable with the terms, and respond to rebuttals persuasively and with professional courtesy Present a positive, professional, and high energy approach to clients, health plan members, and team members Meet daily goals set by the department (i.
e.
, 300-400 outbound dials per day, 24 appointments set per day, shift and attendance policy adherence, quality targets, etc.
) in an office or remote environment Adjust, reschedule, and cancel appointments with both members and contracted providers, as requested Monitor performance results including appointments, calls, handle time, and productivity using designated reporting systems Report member complaints and escalations immediately to Member Engagement ManagersParticipate in peer side-by-side coaching as needed Follow HIPAA and other security and privacy guidelines when handling protected health information accessed during normal work activities We are looking for someone with:A High School Diploma or equivalent is preferred1+ year callcenter experience OR 2+ years general work experience required Previous outbound callcenter or high volume experience working in a metrics driven environment, with an auto dialer, and/or using scripts is preferredA desire to work in an efficient, results-oriented outbound callcenter environment Persuasive with the ability to rebuttal while treating all health plan members with professional courtesy Good communication skills, friendly and conversational Ability to adhere to a fixed daily schedule, including start, breaks, lunch, and end times Strong computer skills and the ability to use multiple systems at the same time, while making calls Benefits:Medical, Dental and Vision plans, Insurance starts the 1st of each month after the start date Bi-weekly pay with monthly commission bonus potential 401K, employee stock purchase program and tuition reimbursement Employee discount programs Work From Home Requirements:To qualify, you must have verified and reliable internet service with 10MB upload/download ability available in your home.
The company will provide equipment (keyboard, monitor, computer, headset, etc.
).
All applicants must provide their own workspace furniture and ensure a quiet workspace.
Conditions of Employment:Successful completion of background check is required for this position.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$15.
00 - $26.
93This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$15 hourly 9d ago
Outbound Call Center Rep (Remote)
CVS Health 4.6
Indiana jobs
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.
Starting hourly rate $15.
00, with unlimited bi-weekly commission potential.
10 days of required paid training (Monday-Friday, 8AM-4:30PM CST.
) Callcenter hours of operation are Monday-Sunday 7AM - 7PM, actual shift will be determined at time of hire.
Competitive benefits, PTO, tuition reimbursement, and more! How will this role have an impact?At Signify Health, we value and seek exceptional thinkers with the heart and humility to match.
Join us on a mission to improve lives and make a lasting difference.
As a Member Engagement Coordinator you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation.
You will work diligently to meet department productivity, quality, and customer service goals.
This role will report to a Member Engagement Manager.
What will you do?Make an average of 50 outbound calls per hour placed by an automatic dialer system to offer, explain, and schedule a free in-home or virtual health evaluation with a provider Follow 20+ approved scripts, ensure members understand and are comfortable with the terms, and respond to rebuttals persuasively and with professional courtesy Present a positive, professional, and high energy approach to clients, health plan members, and team members Meet daily goals set by the department (i.
e.
, 300-400 outbound dials per day, 24 appointments set per day, shift and attendance policy adherence, quality targets, etc.
) in an office or remote environment Adjust, reschedule, and cancel appointments with both members and contracted providers, as requested Monitor performance results including appointments, calls, handle time, and productivity using designated reporting systems Report member complaints and escalations immediately to Member Engagement ManagersParticipate in peer side-by-side coaching as needed Follow HIPAA and other security and privacy guidelines when handling protected health information accessed during normal work activities We are looking for someone with:A High School Diploma or equivalent is preferred1+ year callcenter experience OR 2+ years general work experience required Previous outbound callcenter or high volume experience working in a metrics driven environment, with an auto dialer, and/or using scripts is preferredA desire to work in an efficient, results-oriented outbound callcenter environment Persuasive with the ability to rebuttal while treating all health plan members with professional courtesy Good communication skills, friendly and conversational Ability to adhere to a fixed daily schedule, including start, breaks, lunch, and end times Strong computer skills and the ability to use multiple systems at the same time, while making calls Benefits:Medical, Dental and Vision plans, Insurance starts the 1st of each month after the start date Bi-weekly pay with monthly commission bonus potential 401K, employee stock purchase program and tuition reimbursement Employee discount programs Work From Home Requirements:To qualify, you must have verified and reliable internet service with 10MB upload/download ability available in your home.
The company will provide equipment (keyboard, monitor, computer, headset, etc.
).
All applicants must provide their own workspace furniture and ensure a quiet workspace.
Conditions of Employment:Successful completion of background check is required for this position.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$15.
00 - $26.
93This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$15 hourly 9d ago
Outbound Call Center Rep (Remote)
CVS Health 4.6
Benton, AR jobs
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.
Starting hourly rate $15.
00, with unlimited bi-weekly commission potential.
10 days of required paid training (Monday-Friday, 8AM-4:30PM CST.
) Callcenter hours of operation are Monday-Sunday 7AM - 7PM, actual shift will be determined at time of hire.
Competitive benefits, PTO, tuition reimbursement, and more! How will this role have an impact?At Signify Health, we value and seek exceptional thinkers with the heart and humility to match.
Join us on a mission to improve lives and make a lasting difference.
As a Member Engagement Coordinator you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation.
You will work diligently to meet department productivity, quality, and customer service goals.
This role will report to a Member Engagement Manager.
What will you do?Make an average of 50 outbound calls per hour placed by an automatic dialer system to offer, explain, and schedule a free in-home or virtual health evaluation with a provider Follow 20+ approved scripts, ensure members understand and are comfortable with the terms, and respond to rebuttals persuasively and with professional courtesy Present a positive, professional, and high energy approach to clients, health plan members, and team members Meet daily goals set by the department (i.
e.
, 300-400 outbound dials per day, 24 appointments set per day, shift and attendance policy adherence, quality targets, etc.
) in an office or remote environment Adjust, reschedule, and cancel appointments with both members and contracted providers, as requested Monitor performance results including appointments, calls, handle time, and productivity using designated reporting systems Report member complaints and escalations immediately to Member Engagement ManagersParticipate in peer side-by-side coaching as needed Follow HIPAA and other security and privacy guidelines when handling protected health information accessed during normal work activities We are looking for someone with:A High School Diploma or equivalent is preferred1+ year callcenter experience OR 2+ years general work experience required Previous outbound callcenter or high volume experience working in a metrics driven environment, with an auto dialer, and/or using scripts is preferredA desire to work in an efficient, results-oriented outbound callcenter environment Persuasive with the ability to rebuttal while treating all health plan members with professional courtesy Good communication skills, friendly and conversational Ability to adhere to a fixed daily schedule, including start, breaks, lunch, and end times Strong computer skills and the ability to use multiple systems at the same time, while making calls Benefits:Medical, Dental and Vision plans, Insurance starts the 1st of each month after the start date Bi-weekly pay with monthly commission bonus potential 401K, employee stock purchase program and tuition reimbursement Employee discount programs Work From Home Requirements:To qualify, you must have verified and reliable internet service with 10MB upload/download ability available in your home.
The company will provide equipment (keyboard, monitor, computer, headset, etc.
).
All applicants must provide their own workspace furniture and ensure a quiet workspace.
Conditions of Employment:Successful completion of background check is required for this position.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$15.
00 - $26.
93This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 02/28/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$15 hourly 9d ago
Provider Data Services Specialist (Must reside in Arizona)
CVS Health 4.6
Remote
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
Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision.
Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables.
Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries.
Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
Supports Data Services Change Management and Process optimization strategies, in order to achieve optimal outcomes.
Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
Supports applicable Open Enrollment activities related to establishing and updating company benefits.
Required Qualifications
Must reside in Arizona.
At least 1 year of healthcare and/or data entry experience.
Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).
Preferred Qualifications
Working knowledge of problem solving and decision-making skills.
Strong attention to detail.
Excellent organization and time management skills.
Basic communication skills.
Education
High school diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $28.46
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.
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 *****************************************
We anticipate the application window for this opening will close on: 01/22/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17-28.5 hourly Auto-Apply 3d ago
Provider Data Services Specialist
CVS Health 4.6
Remote
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
CVS Health has an opportunity for a full-time Network Relations Specialist. The Network Relations Specialist is responsible for supporting the loading of new and revised Medicaid participating provider data transactions into Aetna/CVS source systems. This role requires strong analytical skills, proficiency in SQL, and the ability to work with large data sets in a fast-paced environment.
Required Qualifications
5+ years of relevant work experience in the healthcare industry.
Experience working with large data sets and performing data analysis.
Strong SQL skills (writing, modifying, and interpreting queries).
Advanced Excel skills (VLOOKUP, XLOOKUP, CONCATENATE, formulas, etc.).
Proficiency in Microsoft Word, Teams, and OneNote.
Preferred Qualifications
Strong critical thinking and analytical abilities.
Excellent organizational and time management skills.
Effective verbal and written communication.
Self-motivated with a strong work ethic.
Ability to learn quickly and work independently.
Innovative mindset with a willingness to propose new ideas and solutions.
Education
High school diploma or 5+ years of relevant healthcare industry experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$17.00 - $28.46
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.
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 *****************************************
We anticipate the application window for this opening will close on: 01/19/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17-28.5 hourly Auto-Apply 4d ago
Remote Customer Service Representative - Charleston, WV
CVS Health 4.6
Delaware, OH jobs
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.
Job Summary- Must live on eastern seaboard-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 FridayAs 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 identify an alternate work location when unable to work from home.
- 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 callcenter setting- Experienced with Medicaid and MedicareEducationHigh school diploma or equivalent GEDAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $25.
65This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/16/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17 hourly 19d ago
Remote Customer Service Representative - Charleston, West Viriginia
CVS Health 4.6
Delaware, OH jobs
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.
Job Summary- Must live on eastern seaboard-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 FridayAs 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 identify an alternate work location when unable to work from home.
- 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 callcenter setting- Experienced with Medicaid and MedicareEducationHigh school diploma or equivalent GEDAnticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $25.
65This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/16/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17 hourly 19d ago
Customer Service Representative (Remote EST)
CVS Health 4.6
Delaware, OH jobs
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: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers.
Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare.
In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being.
You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources.
This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions.
As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction.
Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.
Key Responsibilities: Actively listen and be an advocate for customers, understand their needs and provide guidance and support Resolve customer inquiries and issues efficiently while documenting all interactions.
Educate customers about available resources and assist them in navigating their options.
Anticipate customer needs and provide proactive solutions to enhance satisfaction.
Collaborate with team members and other departments to address service issues and improve outcomes.
Document all customer correspondence and maintain confidential records of patient information.
Follow policies, procedures, and the CVS/Aetna Code of Conduct.
Your performance will be measured by: Customer satisfaction with the service you provide.
Demonstrating CVS/Aetna's "Heart at Work" behaviors including Putting People First, Joining Forces, and Inspiring Trust.
Your ability to resolve customer issues the first time they call.
Quality and accuracy of interactions with customers.
Reporting to work and adhering to your assigned schedule.
Our Leadership and Welcome Teams will help you succeed by providing: New colleague orientation to learn about our company and your role.
Engaging and comprehensive training ranging from 4 to 18 weeks depending on the customers supported.
A supportive and inclusive culture that will allow for continuous learning and growth.
Ongoing coaching and mentoring support.
Equipment and resources needed to complete assigned work.
Key Competencies and Behavioral Requirements: Demonstrated empathy and effective communication skills.
Respectful and kind demeanor in all communications while being an advocate for our customers Strong problem-solving and decision-making abilities.
Ability to manage multiple resources and tasks in a fast-paced environment.
Required Qualifications: 6+ months of customer service experience Basic computer skills Must reside in the Eastern Standard Time Zone.
Preferred Qualifications: 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role 1+ years of claims, provider, dental, medical or other related healthcare experience Microsoft office experience preferred Education: High School Diploma, GED, or equivalent experience.
You must have: High-speed internet access with adherence to workplace model and potential telework agreements.
Willingness to work specific hours, with flexibility This position pays $18.
50/hour.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $28.
46This 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 *************
cvshealth.
com/us/en/benefits This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17 hourly 6d ago
Remote Customer Service Representative - Charleston, West Viriginia
CVS Health 4.6
Hometown, WV jobs
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.
**Job Summary**
_- Must live on eastern seaboard_
_-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 identify an alternate work location when unable to work from home.
- 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 callcenter 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 *****************************************
We anticipate the application window for this opening will close on: 01/16/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. 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.
$17-25.7 hourly 2d ago
Customer Service Representative (Remote EST)
CVS Health 4.6
New Hampshire, OH jobs
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: We are seeking a compassionate, customer-obsessed Customer Service Representative to care for our customers.
Our customers include members of our benefit plans, employers that offer benefits, doctors, hospitals, and other providers of healthcare.
In this role, you will create connections with our customers by helping with their benefits and claims to improve their health and well-being.
You will be responsible for educating customers about their benefits and claims while resolving issues and directing them to helpful resources.
This position requires adaptability and empathy, as you will be handling a variety of inquiries and ensuring customer satisfaction through kind and respectful interactions.
As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction.
Your ability to listen and respond to customer needs is crucial in inspiring trust and loyalty.
Key Responsibilities: Actively listen and be an advocate for customers, understand their needs and provide guidance and support Resolve customer inquiries and issues efficiently while documenting all interactions.
Educate customers about available resources and assist them in navigating their options.
Anticipate customer needs and provide proactive solutions to enhance satisfaction.
Collaborate with team members and other departments to address service issues and improve outcomes.
Document all customer correspondence and maintain confidential records of patient information.
Follow policies, procedures, and the CVS/Aetna Code of Conduct.
Your performance will be measured by: Customer satisfaction with the service you provide.
Demonstrating CVS/Aetna's "Heart at Work" behaviors including Putting People First, Joining Forces, and Inspiring Trust.
Your ability to resolve customer issues the first time they call.
Quality and accuracy of interactions with customers.
Reporting to work and adhering to your assigned schedule.
Our Leadership and Welcome Teams will help you succeed by providing: New colleague orientation to learn about our company and your role.
Engaging and comprehensive training ranging from 4 to 18 weeks depending on the customers supported.
A supportive and inclusive culture that will allow for continuous learning and growth.
Ongoing coaching and mentoring support.
Equipment and resources needed to complete assigned work.
Key Competencies and Behavioral Requirements: Demonstrated empathy and effective communication skills.
Respectful and kind demeanor in all communications while being an advocate for our customers Strong problem-solving and decision-making abilities.
Ability to manage multiple resources and tasks in a fast-paced environment.
Required Qualifications: 6+ months of customer service experience Basic computer skills Must reside in the Eastern Standard Time Zone.
Preferred Qualifications: 1+ years of customer service experience in a contact center environment, which may include calls, chats or email correspondence depending on role 1+ years of claims, provider, dental, medical or other related healthcare experience Microsoft office experience preferred Education: High School Diploma, GED, or equivalent experience.
You must have: High-speed internet access with adherence to workplace model and potential telework agreements.
Willingness to work specific hours, with flexibility This position pays $18.
50/hour.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $28.
46This 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 *************
cvshealth.
com/us/en/benefits This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17 hourly 6d ago
Customer Service Representative - Bilingual
CVS Health 4.6
Delaware, OH jobs
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.
This position is designated for bilingual candidates.
Fluency in English and Spanish is required.
Position SummaryCustomer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled.
Customer inquiries are of basic and at times complex nature.
Engages, consults and educates members based upon the member's unique needs, preferences and under‐standing of Aetna plans, tools and resources to help guide the members along a clear path to care.
Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors.
Triages resulting rework to appropriate staff.
Documents and tracks contacts with members, providers and plan sponsors.
The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.
Anticipates customer needs.
Provides the customer with related information to answer the unasked questions, e.
g.
additional plan details, benefit plan details, member self-ser‐vice tools, etc.
Uses customer service threshold framework to make financial decisions to resolve member issues.
Explains member's rights and responsibilities in accordance with contract.
Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system.
Educates providers on our self-ser‐vice options; Assists providers with credentialing and re-credentialing issues.
Responds to re‐quests received from Aetna's Law Document Center regarding litigation; lawsuits Handles extensive file review requests.
Assists in preparation of complaint trend reports.
Assists in compiling claim data for customer audits.
Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management.
Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
Performs financial data maintenance as necessary.
Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.
As a callcenter inbound representative you will be responsible for taking inbound Brokerage calls to provide application status, contract and appointment status.
In addition you will review commission inquires, data entry, processing of Medicare contracts, appointments and verification of certification for external producers/agents to be eligible to market Medicare plans.
May supplement the background check review and documentation process as well.
Required Qualifications6 months of Customer Service experience Strong communication and empathy skills.
Ability to navigate multiple systems and tools.
Preferred QualificationsKnowledge of health plan benefits and regulatory requirements.
Prior experience in healthcare, insurance, or callcenter environments is highly valued.
EducationHigh School Diploma or GED Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $34.
15This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$17 hourly 9d ago
Customer Service Representative - Bilingual
CVS Health 4.6
New Hampshire, OH jobs
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.
This position is designated for bilingual candidates.
Fluency in English and Spanish is required.
Position SummaryCustomer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled.
Customer inquiries are of basic and at times complex nature.
Engages, consults and educates members based upon the member's unique needs, preferences and under‐standing of Aetna plans, tools and resources to help guide the members along a clear path to care.
Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors.
Triages resulting rework to appropriate staff.
Documents and tracks contacts with members, providers and plan sponsors.
The CSR guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.
Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.
Anticipates customer needs.
Provides the customer with related information to answer the unasked questions, e.
g.
additional plan details, benefit plan details, member self-ser‐vice tools, etc.
Uses customer service threshold framework to make financial decisions to resolve member issues.
Explains member's rights and responsibilities in accordance with contract.
Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system.
Educates providers on our self-ser‐vice options; Assists providers with credentialing and re-credentialing issues.
Responds to re‐quests received from Aetna's Law Document Center regarding litigation; lawsuits Handles extensive file review requests.
Assists in preparation of complaint trend reports.
Assists in compiling claim data for customer audits.
Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management.
Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
Performs financial data maintenance as necessary.
Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.
As a callcenter inbound representative you will be responsible for taking inbound Brokerage calls to provide application status, contract and appointment status.
In addition you will review commission inquires, data entry, processing of Medicare contracts, appointments and verification of certification for external producers/agents to be eligible to market Medicare plans.
May supplement the background check review and documentation process as well.
Required Qualifications6 months of Customer Service experience Strong communication and empathy skills.
Ability to navigate multiple systems and tools.
Preferred QualificationsKnowledge of health plan benefits and regulatory requirements.
Prior experience in healthcare, insurance, or callcenter environments is highly valued.
EducationHigh School Diploma or GED Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17.
00 - $34.
15This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/24/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.