Customer Service Representative-Hybrid Franklin, TN. at CVS Health

Franklin, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Feb, 26

Salary

28.46

Posted On

22 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Insurance Verification, Data Entry, Problem Solving, Attention to Detail, Analytical Skills, Communication Skills, Teamwork, Organizational Skills, Math Skills, Empathy, Microsoft Outlook, Microsoft Word, Microsoft Excel, Billing Processing, Patient Account Management

Industry

Hospitals and Health Care

Description

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. Position Summary 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 7a-7p. 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 3rd 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. Minimum 6 months experience in a customer service or call center environment. (call center type environments preferred, if doctor’s office then anything below managing 75 calls/day would not translate to similar environment). Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members. Computer experience is required with proficiency in Microsoft Outlook, Word and Excel. Basic alpha number data entry skills with attention to accuracy and quality is essential. Intermediate math skills are required with attention to detail and quality essential. Ability to work with people in a team environment while meeting individual performance goals. Must be able to read and interpret policies, procedures and instructions. Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential Preferred Qualifications 1+ years in a customer service or call center environment (call center type environments preferred, if doctor’s office then anything below managing 75 calls/day would not translate to similar 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. 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: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits 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.

Responsibilities

The primary responsibilities include verifying insurance coverage for potential and new clients, as well as re-verifying coverage for existing patients. This role also involves responding to inquiries, assisting with online registration, and resolving patient complaints.