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Customer Service Rep- Bilingual Spanish- Remote- $2000 Bonus

CVS Health

Location: Tampa, FL, 33614
Type: Full-Time, Remote
Posted on: July 29, 2021
This job is no longer available from the source.
Title Customer Service Rep- Bilingual Spanish- Remote- $2000 Bonus
Position Summary This is a work from home opportunity for candidates located in FL, WA, and OH.
-Bilingual 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.
-Customer Service experience in a transaction based environment such as a call center, retail location or hospitality environment preferred.
-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.
-Takes accountability to fully understand the member’s needs by building a trusting and caring relationship with the member.
-Documents and tracks contacts with members, providers and plan sponsors.
-Anticipates the customer needs.
-Provides the customer with related information to answer the unasked questions, e.g.additional plan details, benefit plan details, educate members and providers on self-service options and tools.
-Uses policies and procedures to resolve member issues, explains member's rights and responsibilities in accordance with plan contracts.
-Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming calls and correspondence.
-Assist members and providers with complaints, grievance and appeals.
-Performs review of member claim financial history to ensure accurate tracking of benefit maximums.
-Uses applicable system tools and resources to produce business letters in response to inquiries received.
Required Qualifications -Bilingual Spanish/English
-Experience in a production environment with the ability to demonstrate empathy and compassion.
-Proficient Oral and written communication skills.
-Proficient with Microsoft Word and Outlook
-Ability to multi-task to accomplish workload efficiently.
-Ability to maintain accuracy and performance standards.
-Attention to detail and accuracy.
-Problem solving skills.
-Analytical skills.
Preferred Qualifications -Understanding of medical terminology.
-Negotiation skills.
-Technical Skills
Education High School or GED equivalent required
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.
Req ID 1717761BR
Clinical Licensure Required N/A
Job Category Aetna
Business Area Aetna
Job Type (Expected Hours Category) Full Time
Location - State/City FL - Tampa, FL - Work from home, OH - New Albany, OH - Work from home, WA - Seattle, WA - Work from home
Location code AO038
Street Address 4630 Woodland Corporate Blvd
City Tampa
State FL
Zip Code 33614
Country United States
FLSA Non Exempt
Requisition Template Professional
Sourcing Requisition No
No. of Positions 8