Customer Service Representative, Behavioral Health (Shift: Mon-Fri 11:45AM-8:15PM EST)
Job Description
Creates an empathetic connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.
Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.
Anticipates customer needs by answering unasked questions.
Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
Performs financial data maintenance as necessary.
Explains member's rights and responsibilities in accordance with contract.
Training Requirements
First six-seven weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST.
Workspace Requirements
- Must have a quiet/secure workspace in your home.
- Recommended Technical requirements when obtaining your own residential internet service.
- Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast).
- Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation.
- Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment.
Qualifications
- 1+ years of experience in a healthcare, call center environment.
- Experience using Microsoft Office products' specifically Excel, Outlook, and Word.
- Previous Behavioral Health, Medical, or Insurance background.
- Experience working from home in a remote role.
- High School Diploma or GED.
Pay Range
The typical pay range for this role is:
- $17.00 - $31.30
About the Role
Behavioral Health Customer Service Representatives (CSR) provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The role 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.
Position Summary
Behavioral Health Customer Service Representatives (CSR) provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The role 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.