CVS Work from Home Jobs (Customer Service Representative Jobs) Urgent Hiring

By | April 13, 2022

Job Responsibilities : Customer Service Representative – Work from Home

Salary : $14 per hour

Company : CVS Health

Location : Remote US

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.

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