Customer Service Representative (Omnicare)
CVS Health · Centralia, WA
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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Job Summary Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc. Essential Functions • Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. 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Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements. • Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed. • Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments. • Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines. • Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule. • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. • Performs other duties as assigned. Qualifications Required • High School Diploma or equivalent • 1 years of relevant experience customer-facing service on phone or face to face; customer service, high volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing, and/or managed health care Preferred • Associate's degree About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. • On-demand pay program powered by Payactiv • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! • Optional identity theft protection, home and auto insurance • Traditional and Roth retirement options with service contribution and match savings • Eligibility for benefits is determined by employment type and status Primary Location SITE - 1700 Magnavox Way Suite 201 - Fort Wayne Department Name Physicians Health Plan of Northern Indiana Admin - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. 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An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.