Senior Customer Service Representative

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
This position is for a Senior Customer Service Representative with American Health Holdings Medical Management Customer Service Department. This role is part of a fast-paced environment in which high level customer service is a must. Promotes and supports quality effectiveness of healthcare services.In this role, you will:

• Take incoming and outgoing calls for all products, speaking with customers, providers, members, clients, and insurance companies, documenting every call in the relevant system for reporting and training purposes.
• Search member, provider, & client details to accurately answer questions or resolve any related issues.
• Verify claim statuses, specifically relating to pricing and client allocation.
• Resolve various issues, and escalating to other areas as needed.
• Educate all customers about various services.
• Search provider listings and sending to customers, gathering all needed information in order to pull a list of providers by specialty, name, or facility.

Required Qualifications

• 1+ year of call center experience.
• 1+ years of medical/healthcare experience.
• 1+ years of data entry experience.

Preferred Qualifications

• 2-4 years of experience as a medical assistant or office assistant in a healthcare setting.
• Strong customer service skills to coordinate service delivery, including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.
• Computer literacy to navigate through internal/external computer systems.
• Ability to effectively participate in multi-disciplinary team including internal and external participants.
• Familiarity with basic medical terminology.
• Effective communication, telephonic, and organization skills.
• High professionalism to interact with clients, internal departments, and vendors.

Education

• High school diploma or GED.

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$18.50 - $42.35This 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 peopleWe 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 https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/01/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Dover, DE

Job ID: CVS-R0658155_1009

Employment Type: OTHER

Posted: 2025-07-27T12:25:49