Remote Customer Service Jobs (No ghost jobs, direct from employers)

Summary

CVS Health is seeking a Customer Service Representative to handle inbound calls related to prior authorization processes, providing professional and courteous assistance to providers, pharmacies, and members. This role involves managing high call volumes, processing prescription authorizations, and supporting various administrative tasks in a fast-paced environment.

Responsibilities (What you'll do)

• Handle inbound calls, fax, and electronic prior authorization requests professionally and courteously according to established standards.
• Process prior authorizations accurately while complying with departmental, company, and federal requirements.
• Communicate determination status and results with internal groups such as seniors, pharmacists, and appeals teams.
• Identify and escalate clinical inquiries to the pharmacist team as appropriate.
• Assist with outbound calls and respond to inquiries through department mailboxes as needed.
• Support additional tasks assigned by the leadership team.
• Manage multiple system applications simultaneously while maintaining attention to detail.

Qualifications (What skills you have to have)

• Minimum of one year of customer service experience handling and resolving complex customer needs over the phone.
• Proficient computer skills including Google Suite, Microsoft Office, internet navigation, and email applications.
• Strong multitasking ability and keyboard skills.
• High School Diploma or GED equivalent required.
• Preferred: Active Arizona Pharmacy Technician License or Registered/Licensed Pharmacy Technician Trainee.
• Preferred: Valid/Active PTCB or NHA Certification.
• Preferred: Basic pharmaceutical knowledge including terminology, calculations, and protocols.
• Preferred: Experience in retail, hospital, medical office, or pharmacy settings.
• Prior remote work experience and ability to maintain a distraction-free, private remote work environment.
• Ability to obtain high-speed internet and hardwire equipment to router/modem.
• Ability to provide own transportation for occasional on-site support within 50 miles of a CVS Caremark location.
• Availability to work a 40-hour schedule Monday through Sunday between 8am-9pm EST.

Benefits

• Base hourly pay range of $17.00 to $28.46 depending on experience, education, and geography.
• Eligibility for CVS Health bonus, commission, or short-term incentive programs.
• Comprehensive benefits package including medical, dental, and vision coverage.
• Paid time off and retirement savings options.
• Wellness programs and additional employee resources.
• Opportunity to earn Certified Pharmacy Technician Certificate through an apprenticeship program.
• Structured career development path from Customer Service Representative to Clinical Support Technician with advancement opportunities.