Job Responsibilities: Customer Service Representative
Salary: $20-30/Hour
Company: Aetna
Location: Carson City, USA
Educational Requirements: Bachelor's Degree
Activity Description
Our customer service representative is the face of Aetna/Mercy Care and affects members’ service experience by way of manner of ways customer service inquiries and troubles thru telephone, net or written correspondence are dealt with. Purchaser inquiries are of basic and at times complicated nature. Engages, consults and educates individuals based upon the member’s specific needs, possibilities and know-how of Aetna plans, equipment and assets to help guide the members alongside a clean route to care. Answers questions and resolves problems primarily based on cellphone calls/letters from members, vendors, and plan sponsors. Triages resulting transform to suitable body of workers. Files and tracks contacts with contributors, carriers and plan sponsors. The CSR guides the member via their contributors plan of blessings, Aetna coverage and methods in addition to having expertise of assets to conform with any regulatory pointers.Taking duty to absolutely apprehend the member’s wishes by way of building a trusting and being concerned courting with the member. Anticipates consumer desires. Offers the customer with related facts to reply the unasked questions, e.G. Extra plan details, benefit plan details, member self-provider gear, and many others. Makes use of customer service threshold framework to make financial decisions to resolve member issues. Explains member’s rights and duties according with contract. Handles incoming requests for appeals and pre-authorizations no longer treated by scientific declare control.
Plays review of member declare records to make sure correct tracking of advantage maximums and/or coinsurance/deductible.
Required Qualifications
- Customer service experience in a transaction based environment such as a name center or retail area desired, demonstrating capability to be empathetic and compassionate. Revel in in a production environment. Excessive school or GED equivalent.
Favored qualifications
- Name center, coverage, medical, Medicaid or Medicare. Bilingual but not required
Training
- Excessive school diploma, GED or better
Business review
Bring your heart to CVS health every one of us at CVS health stocks a unmarried, clear reason: Bringing our coronary heart to every moment of your health. This cause courses our dedication to deliver better human-centric health take care of a hastily changing global. Anchored in our emblem — with heart at its center — our cause sends a private message that how we deliver our offerings is just as essential as what we supply. Our coronary heart At paintings Behaviors™ help this cause. We want anyone who works at CVS health to experience empowered via the position they play in transforming our way of life and accelerating our capacity to innovate and deliver solutions to make fitness care greater personal, handy and inexpensive. We try to promote and maintain a subculture of variety, inclusion and belonging every day. CVS fitness is an affirmative motion organization, and is an same possibility corporation, as are the doctor-owned businesses for which CVS fitness presents management services. We do no longer discriminate in recruiting, hiring, advertising, or another personnel motion based on race, ethnicity, shade, countrywide foundation, intercourse/gender, sexual orientation, gender identity or expression, faith, age, incapacity, blanketed veteran fame, or another function included via relevant federal, country, or neighborhood regulation. We proudly support and inspire people with army revel in (lively, veterans, reservists and country wide shield) in addition to navy spouses to apply for CVS health activity possibilities.
