Customer Service Representative

CVS Health Careers

. Serve as the primary customer support resource for long-term care residents, responsible parties, and facility staff regarding account inquiries and billing concerns .

Posted 11/2/2026full-timeRemote • Ohio • United StatesJunior💰 $17 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health insurance billing, including Medicaid and Medicare, while maintaining compliance with regulations and delivering exceptional customer service. Proficient in managing multiple systems and documenting customer interactions accurately.

Highest-signal resume keywords

Health Insurance BillingCustomer Service SkillsAttention To DetailProblem-Solving SkillsMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Billing VerificationAccount ReconciliationData EntryDocumentation MaintenanceCoding Knowledge

Soft Skills

Strong Communication SkillsProfessional DemeanorRelationship BuildingConflict Resolution SkillsInvestigative Skills

Tools & Technologies

Servicing PlatformsCall Center SystemsMicrosoft OutlookMicrosoft WordMicrosoft Excel

Industry Keywords

Long-Term CareMedicaidMedicareRemote WorkHigh-Volume Call Center

About the role

Key responsibilities & impact

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 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, identify discrepancies, and take appropriate action 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
Maintain detailed and accurate documentation of customer interactions and account activity
Ensure compliance with federal and state regulations, company policies, privacy standards, and departmental procedures
Participate in corporate campaigns, special projects, and strategic initiatives
Collaborate with internal departments to resolve customer concerns and improve service delivery
Meet established performance, quality, and productivity standards
Perform other duties as needed

Requirements

What you’ll need

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
Willingness to work Monday-Friday, working an 8-hour shift between 8:30am-6:30pm EST
Demonstrated proficiency in working multiple systems simultaneously
Proficiency with Microsoft Office (Outlook, Word, Excel)
High school diploma or GED
Previous experience in a long-term care and/or pharmaceutical environment preferred
Associate’s degree preferred
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

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility