Role Description We are seeking a motivated and customer-focused French Speaking Customer Service Representative to join our dynamic team. In this role, you will be responsible for providing professional and efficient support to French-speaking customers across multiple channels. You will act as the first point of contact, assisting customers with inquiries, resolving issues, and ensuring a positive customer experience. This position is ideal for individuals who are passionate about customer service, highly organized, and able to communicate effectively in both French and English. To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test. Qualifications - High School Diploma/GED - Fluency in French and English (spoken and written) is essential. - Previous experience in a customer service or call centre environment, preferably within a BPO environment. - Strong verbal and written communication skills. - Ability to handle high volumes of customer interactions while maintaining quality service. - Basic computer literacy and experience working with CRM or ticketing systems. - Strong problem-solving skills and the ability to remain calm under pressure. Requirements - Provide exceptional customer support to French-speaking customers via phone, email, and chat. - Handle customer inquiries, complaints, and requests in a professional and timely manner. - Accurately capture and update customer information in internal systems and CRM platforms. - Troubleshoot and resolve customer issues while maintaining high service standards. - Escalate complex issues to the appropriate internal teams when necessary. - Maintain detailed and accurate records of all customer interactions. - Meet or exceed individual and team performance targets, including quality, productivity, and customer satisfaction metrics. - Follow company policies, procedures, and compliance guidelines. - Collaborate with team members and other departments to ensure seamless customer support. Benefits - All positive, and driven applicants are encouraged to apply. - Nice to Have: Additional language skills. - Experience supporting international customers. - Familiarity with customer service platforms or CRM systems. - Experience working in a fast-paced, target-driven environment. - Strong administrative and organizational skills.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for processing patient accounts. Duties may include one or more of the following: - Processing insurance payments - Following up on denied claims - Resolving credit balances Typically works in no more than two functional areas. Qualifications - Experience with hospital insurance denials and follow up or Work Comp is required. - High school diploma or equivalent. - No experience required. Requirements - Processes the insurance component of a patient's obligation using the third party claims processing and payment rules. - Bills claims appropriately. - Follows up on denied claims by performing appeals and denial recovery procedures. - Works denied claim lines and no response claims to resolve outstanding accounts. - Analyzes credit balances on patient accounts and resolves. - Responds to refund request letters from insurance carriers. - Performs other duties as assigned. Benefits - Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). - Flexible Payment Options: instant access to earned, unpaid base pay through DailyPay (fees may apply). - Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This position is for CST candidates and the working schedule is 8am-5pm CST. Aetna’s Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members’ needs and create behavioral change. This team has a drive to exceed the delivery of Medicaid Health care services. - Supports comprehensive coordination of healthcare services through telephonic outreach to and enrollment of eligible members. - Demonstrates a highly energetic blend of salesperson, healthcare navigator and health plan customer support representative. - Responsible for direct member outreach and engagement, facilitating case assignment, and connecting identified members to care managers immediately through a warm transfer. - Successfully enrolls members into care management to support the implementation of care plans promoting effective utilization of healthcare services. - Provides support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems. - Adheres to compliance with policies and procedure/regulatory standards. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Protects the confidentiality of member information and adheres to company policies regarding confidentiality. Qualifications - 2-4 years’ experience in healthcare field (i.e. experienced in medical office, hospital setting, medical billing/coding). - Demonstrates ability to meet daily metrics with speed, accuracy and a positive attitude. - Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues. - Completes documentation of each member call in the electronic record, thoroughly completing required actions with a high level of detail. - Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring presence telephonically. Requirements - Experience with computers including knowledge of Microsoft Word, Outlook, and Excel – data entry and documentation within member records preferred. - Familiarity with basic medical terminology and concepts used in care management preferred. - Effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time. - Ability to effectively participate in a multi-disciplinary team including internal and external participants. - Flexibility to work occasional nights and weekends outside of standard business hours which can span from 8:00 am to 8:00 pm. - Strong organizational skills, including effective verbal and written communication skills. - Bilingual (Spanish) preferred. Education - High School diploma, G.E.D. or equivalent. Benefits - Affordable medical plan options. - 401(k) plan (including matching company contributions). - 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. Pay Range The typical pay range for this role is: $18.50 - $31.72. 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. We anticipate the application window for this opening will close on: 03/15/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This job provides personalized support and guidance to customers through an omni-channel experience, leveraging knowledge of healthcare administration and integrated partnerships to proactively resolve inquiries, ensuring a positive and seamless experience and ultimately driving positive member behavior and cost-effective business outcomes. - Serve as the primary point of contact for customers seeking information and assistance regarding their health benefits, claims, and online healthcare tools. - Resolve standard and frequently non-routine customer inquiries, comments, and concerns with the most limited escalation consistent with company policies and processes. - Engage and guide members through clinical model complexities; connect members with appropriate clinical and non-clinical resources and redirect member site of care as defined by model and client requirements. - Educate members on how to optimize insurance benefits by explaining the financial impact of healthcare choices, available provider/service options, and the importance of receiving the right care at the right time and place. - Enroll members in programs that utilize digital tools designed to enhance their healthcare journey. - Provide training and support to help members navigate these tools and actively engage in their own health management. - Other duties as assigned or requested. Qualifications - 3 years of experience in customer service, healthcare administration, or related field. - Experience working with Highmark health plans and customer service systems. - Associate's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree (preferred). Requirements - Ability to apply in-depth product knowledge of health plan offerings. - Proficiency in using and navigating customer service systems specific to Highmark health plans. - Strong communication and interpersonal skills, with a focus on empathy and active listening. - Ability to work independently and as part of a team. - Proficiency in Microsoft Office Suite and other relevant software applications. - Ability to maintain confidentiality and adhere to HIPAA regulations. Benefits - Pay Range Minimum: $21.53 - Pay Range Maximum: $32.95 - Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. Company Description Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.