CVS Health Jobs | Customer Service Representative Work from Home Apply Now 2022

By | April 13, 2022

Job Responsibilities : Customer Service Representative – Work from Home

Salary : $14 per hour

Company : CVS Health

Location : Remote

Educational requirements : High School

Responsibilities

  • Handles provider customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.
  • Answers questions and resolves issues based on phone calls/letters from providers. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors.
  • Explains member’s benefits, rights and responsibilities in accordance with contract to our providers.
  • Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues.
  • Determines applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
  • Handles incoming status requests for appeals and pre-authorizations not handled by Clinical Claim Management .
  • Performs review of member/provider claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
  • Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.

Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

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