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Job Description
MUST RESIDE IN THE PHOENIX, AZ METRO AREA
This position is based in Phoenix, AZ and the ability to telework full time is required.
Working on the weekends (both Saturday and Sunday) and on holidays is required.
The 2nd Shift CSR hours are from 2:55 PM-11:25 PM on the weekdays. On the weekends, the hours vary. During Daylight Saving Time in the spring, the start time shifts to one hour earlier.
The 2nd Shift CSR works in the Afterhours Centralized Call Center and supports multiple Aetna Medicaid state health plans across the country.
This position also includes a $1000 sign on bonus as well as an additional $2000 90 days post training! (Bonuses are only applicable to specific positions, locations, and business groups. Applicable roles have the bonus language in the job posting.)
Customer Service is the important first-line of contact with customers, setting the tone for how members, doctors and plan sponsor groups view our company. It provides members with the right information at the right time to help them make better decisions about their health and health care.
Customer 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 understanding 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 from members, providers, and plan sponsors.
-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-service 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.
-Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues.
-Responds to requests received from Aetna’s Law —
-Document Center regarding litigation; lawsuits
Required Qualifications
– Must reside within 50 miles of the Phoenix location
-Customer Service experiences in a transaction based environment such as a call center or retail location, demonstrating ability to be empathetic and compassionate.
-All employees are required to commute to the office when experiencing internet outages or any technical problem that prevents them from working remotely
-Aetna/CVS Health furnishes the work-at-home equipment and employees are responsible for purchasing reliable internet connection at home with minimum download speed of 25 Mbps and an upload speed of 3Mpbs or more
-It is a requirement that an ethernet cord is used while working from home. Wifi does not always provide a reliable connection
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions 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, pregnancy, 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. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
- If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
– Experience with working remotely
– Experience in the healthcare industry, preferably in a call center setting
– Knowledgeable in Medicaid and Medicare
– Proven strong performance attendance records
Education
High School Diploma or Equivalent
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
CLICK HERE TO APPLY ONLINE!