Customer Service Representative
CVS Health / Aetna
Job Summary
CVS Health / Aetna is hiring a Customer Service Representative in Remote, US. This Bellencia summary highlights the role, requirements, phone level, and best-fit applicant profile.
Job Description
About This Customer Service Representative Role
CVS Health / Aetna is hiring for a Customer Service Representative position connected to Remote, US. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.
The role appears to focus on accurate account work, structured documentation, research, and timely follow-through. Candidates should review the official posting carefully before applying because employer needs, schedules, location rules, and application requirements can change.
Key Responsibilities
Daily Work You May Handle
- Assist members, employers, doctors, hospitals, and healthcare providers
- Answer customer inquiries related to benefits and claims
- Research customer issues across systems
- Document all customer correspondence and outcomes
- Educate customers about available resources
- Help customers navigate healthcare options
- Resolve issues efficiently and accurately
- Maintain confidential patient records
- Follow CVS/Aetna policies, procedures, and Code of Conduct
- Collaborate with team members and departments to resolve service issues
The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.
Minimum Requirements
Education, Experience, and Technical Knowledge
- 6+ months of customer service experience
- Basic computer skills
- High school diploma, GED, or equivalent experience
- Must live in Central Standard Time Zone or Eastern Standard Time Zone
- High-speed internet access
- Willingness to work assigned schedule with flexibility
- Preferred Qualifications:
- 1+ year of customer service experience in a contact center environment
For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.
Preferred Qualifications
Helpful Background for Stronger Applicants
- 1+ year of customer service experience in a contact center environment
- Experience with calls, chats, or email correspondence
- 1+ year of claims, provider, dental, medical, or related healthcare experience
- Microsoft Office experience
Phone Level and Work Style
Bellencia phone-level estimate: High Phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Healthcare Customer Service / Benefits & Claims Support work with a focus on written records, account review, payer details, research, and follow-up.
Pay, Schedule, and Location Details
Pay: $18.50 per hour. Schedule: Full-time; must be willing to work assigned hours with flexibility. Must live in Central Standard Time Zone or Eastern Standard Time Zone.. Job type: Full-time. Location or work arrangement: Remote, US. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.
Best-Fit Applicant Profile
This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.
- You are comfortable researching account details and correcting issues before they become larger problems.
- You can follow written procedures and keep documentation clean, accurate, and audit-ready.
- You prefer structured back-office work over sales-driven or heavy call-center duties.
- You can manage confidential information professionally and escalate unclear issues when needed.
Resume Keywords to Consider
Relevant resume keywords may include Customer Service Representative, Medical / Healthcare, Healthcare Customer Service / Benefits & Claims Support, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.
How to Apply
Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.