Customer Service Representative-Hybrid Franklin, TN.

Cvs Health Position

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.

Candidates need to be located in Tennessee and will have a hybrid work schedule requiring them to report into the office. The call center is open from 7 a.m. to 7 p.m.

Primary Responsibilities

The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments. Effective delivery of company products and services :

• Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
• Assists with registering or resetting passwords and online registration
• Provides information coverage and benefits, billing and payments and field general questions.
• Determines the best method for providing services.
• Verifies insurance and / or payments
• May perform data entry.
• May assist with the processing of billing paperwork.
• Accurately maintains files of all patient account profile information and referral source data.
• Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.
• Knowledge of Medicare and third party vendors is a plus.
• Ability to demonstrate excellent customer services to members, agents and their representatives.
• Must demonstrate strong attention to detail and proven analytic and problem solving.

Required Qualifications

This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.

Preferred Qualifications

1+ years in a customer service or call center environment.

Education

High School or GED equivalent.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is : $17.00 - $28.46. This 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.

Great Benefits for Great People

We 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 :

We anticipate the application window for this opening will close on : 12 / 23 / 2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.