CVS Health Member Services Representative in San Antonio, Texas
This position involves extensive member contact via the telephone. Handles inbound/outbound calls from participants and/or prescribers when needed to start and process order requests. Ability to research and investigate orders using Peoplesafe and LINKS. Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience. Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry. Responsible for researching and resolving payment issues. Call to offer a direct sale of medications to participants and posting payments to the proper account. Perform required transactions to complete mail order prescriptions. Follow through on standard operating procedures, problem-solving and troubleshooting within guidelines. Ability to work under strict turn-around-times.
PC skills in Windows-based applications. Advanced verbal/written communication skills. Team-oriented, customer service focused and able to identify process improvements. The position may require working an occasional Saturday and or Sunday shift
Responsive, reliable and able to express assurance/confidence ∙ Ability to express empathy and professionalism. There may be the possibility of working from home depending on several factors including site location, employee performance, department need, as well as other criteria.
Ability to understand the audience you are writing to
Analytical problem-solving skills.
Demonstrate strong research skills with the ability to evaluate, focus on the problem and find the resolution.
Understand the importance of timely work and effective planning.
The clear understanding of CVS/Caremark values and importance of customer satisfaction.
Prioritizing and organizing workload in adherence to deadlines.
Desire and aptitude to assist a customer with escalated concerns and provide final resolutions.
Ability to respond to escalated concerns in a calm and professional manner in attempts to prevent further escalations.
Ability to multi-task with strong time management skills.
Navigation of LINKS and Peoplesafe
High school Diploma or GED required
It’s a new day in health care.
Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.
CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm . We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team at mailto:AdviceCounsel@cvshealth.com . Please note that we only accept applications for employment via this site.
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