.
by Chris Durst Mar. 24, 2025
| As we write, this job listing is online and applications appear to be open. But jobs can fill at any time, so apply or share quickly if you’re interested! Sorry, but we have no role in the HR processes of other companies. If you encounter difficulties in the application process please contact them directly. Good luck in your hunt, and may you be working from home soon! |
CVS has posted a Remote Customer Service Representative job to their careers page.
In this role, you will answer questions and resolves issues based on phone calls/letters from providers. You will provide customer services for inbound callers, educate providers with related information, and process claims referrals.
Applicants should have familiarity with Microsoft Office products such as Outlook, Word, Teams, Excel; the ability to maneuver through multiple system applications to gather information while on a call; excellent customer service skills; and a private workspace that is quiet, secure, and free of interruptions.
The posted pay rate is $17-$34.15/hour. The company also offers a comprehensive mix of benefits.
According to the job posting, the application window for this job is 4/11/25, but don’t wait as they do close listings early sometimes!
Following are excerpts from the Remote Customer Service Representative job posting:
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
- Answer questions and resolves issues based on phone calls/letters from providers. Triage resulting rework to appropriate staff.
- Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research on multiple platforms to assist providers with payment questions.
- Educate provider with related information to answer the unasked questions, e.g., additional plan details, benefit plan details, provider self-service tools, etc.
- Use customer service threshold framework to make financial decisions to resolve provider issues. Explain provider’s rights and responsibilities in accordance with contract.
- Process claim referrals, new claim handoffs, nurse reviews, provider complaints, grievance and appeals via target system.
- Assists providers with credentialing/re-credentialing and contracting questions and issues.
- Assist in compiling claim data for audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
- Work hours will be between 7am to 7pm local time, Monday through Friday, and can vary periodically throughout the year. Advance notice will be given if schedules are changed.
Required Qualifications – Remote Customer Service Representative
- Familiarity with Microsoft Office products such as Outlook, Word, Teams, Excel
- Ability to maneuver through multiple system applications to gather information while on a call
- Excellent customer service and critical thinking is a must
- Must secure high speed internet access (100 mbps or higher) with consistent, stable connection. A speed test will be required to proceed with an interview.
- Work location must be set up with a direct connection to the router (NOT Wi-Fi). We provide a 6 ½ foot long ethernet cord, if the distance is further, you will be required to provide your own ethernet cable.
- Private workspace that is secure, quiet, and uninterrupted, and that allows appropriate maintenance of confidentiality as required by HIPAA and CVS Health guidelines.
Preferred Qualifications
- Healthcare background
- Experience in highly transactional call center environment
Education
- High School diploma or GED equivalent.
Anticipated Weekly Hours
40
Time Type :Full time
Compensation & Benefits
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.
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.
HOW TO APPLY
(Friendly reminder, Rat Race Rebellion doesn’t play a role in the applications or hiring processes for jobs we’ve posted to our site. We’re a job board and blog.)
CLICK HERE for full details and to apply for this Remote Customer Service Representative position. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, join our free Telegram channel. Good luck as you make your work from home plans a reality!
