Customer Service Representative (Omnicare)
CVS Health · Danville, VA
Job description
Customer Service Representative We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Customer Service Representative is a phone-based role. This person serves as a primary point of contact for long-term care residents, responsible parties, and facility partners. This role is responsible for providing exceptional customer support while ensuring billing accuracy, account reconciliation, payment processing, and compliance with company policies and regulatory requirements. The Customer Service Representative will work closely with customers to resolve account inquiries, verify billing and insurance information, and support organizational initiatives designed to enhance the customer experience and operational effectiveness. Primary Responsibilities • Serve as the primary customer support resource for long-term care residents, responsible parties, and facility staff regarding account inquiries and billing concerns. • Collect, review, and verify account-specific information, including billing details, insurance coverage, payer information, and applicable coding. • Update, maintain, and document customer account activities within designated work campaigns and servicing platforms. • Review account status to verify accuracy, identify discrepancies, and take appropriate action to progress accounts toward resolution. • Conduct outbound calls to customers, responsible parties, insurance providers, and facilities to reconcile account issues and resolve outstanding balances. • Process customer payments accurately and perform follow-up activities to ensure proper posting and account resolution. • Research and resolve billing questions, payment concerns, and account discrepancies in a professional and timely manner. • Maintain detailed and accurate documentation of all customer interactions and account activity. • Ensure compliance with all federal and state regulations, company policies, privacy standards, and departmental procedures. • Participate in corporate campaigns, special projects, and strategic initiatives that support organizational goals and leadership-directed objectives. • Collaborate with internal departments to resolve customer concerns and improve overall service delivery. • Meet established performance, quality, and productivity standards while delivering a positive customer experience. • Perform other duties as needed. Required Qualifications • 1+ year of experience in a high-volume call center environment. • 1+ year of experience with health insurance billing, including Medicaid, Medicare, and/or Medicare Part D. • 1+ year of experience in a remote, work-from-home environment. • Demonstrated proficiency in working multiple systems simultaneously, as well as with Microsoft Office (Outlook, Word, Excel). Preferred Qualifications • Previous experience in a long-term care and/or pharmaceutical environment. • Strong written and verbal communication skills. • Demonstrated professional demeanor in all communications. • Excellent attention to detail. • Strong administrative and data entry skills. • Ability to build relationships with customers and members. • Excellent customer service skills. • Strong problem-solving, investigative, and conflict-resolution skills. • Associate's degree. Education • High school diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
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Customer Service Representative - Remote
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Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com . Job Summary: The Customer Service Representative (CSR) answers inbound calls from members and providers, inputs data, and provides a high level of customer service always extending courtesy and professionalism. The CSR handles inbound customer service inquiries and problems via the telephone and email while effectively recording communications accurately and consistently. Calls are predominantly "routine", but may require deviation from standard screens, scripts and procedures. CSRs use a computerized system for tracking calls, information gathering, and/or troubleshooting and may assess needs, explain programs and suggest/promote alternative products or services.? Essential Job Functions: • Identify, evaluate and prioritize caller?needs, questions and concerns.? • Formulate plans of resolution and respond?appropriately and efficiently.? • Maintain and restore customer satisfaction and partner with other teams as needed.? • Perform problem analysis, problem determination and recommended resolutions to the?callers in accordance with standard protocol.? • Proactively educate caller on program benefits.? • Meet or exceed established call center metrics, attendance standards and quality levels.? • Use computer tools to accurately process and document information.? • Develop rapport with callers and appropriately adjust communication style.?? • Provide accurate information about?Sharecare programs and services.? • Escalate issues internally and follow up on escalated issues.? Qualifications: • High School Diploma? • Prior experience in a customer?service related?field preferred • Great communication skills? • Must be able to multi-task? • Must have medical records experience and knowledge of key elements of a valid ROI request • Understanding of HIPAA regulations preferred • General working knowledge of Microsoft Word &?Outlook? • Computer keyboard proficiency?and internet navigation skills?required? • Have the ability to?work effectively with others in a team?environment?? • Ability to thrive in a fast-growing always changing?environment • Bilingual in Spanish and English preferred Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.