Aetna Billing Premium Cnslt in Franklin, Tennessee

Req ID: 46404BR

POSITION SUMMARY

Provide Plan Sponsors with accurate bills, information and solutions to concerns. Work to ensure payments are finalized and money is collected and allocated across benefits and structure. Process accurate and timely eligibility into Aetna Systems utilizing Aetna policy guidelines and in accordance with key performance measures and first claim/first call resolution

Fundamental Components:

  • Coordinates validation of eligibility.

  • Consults with internal/external customers to identify accurate account information, billing format method and payment arrangements to meet customers expectations.

  • Researches, resolves and responds to internal/external customers request or needs within the policy guidelines.

    BACKGROUND/EXPERIENCE:

    *1-3 years Customer Service Experience REQUIRED

    *1-3 years of Microsoft Office Experience REQUIRED

    *Financial experience a plus

    *Attention to detail and Accuracy

    *Math and accounting skills

    *Ability to analyze financial information and reports.

    *Ability to work on projects solo or with others and produce desired results.

    *Ability to prioritize task and organize work effectively.

    EDUCATION

    The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

    LICENSES AND CERTIFICATIONS

    Finance/ is desired

    Insurance/ is desired

    FUNCTIONAL EXPERIENCES

    Functional - Finance//1-3 Years

    Functional - Customer Service/Customer Service - Plan Sponsor - Billing premium & reconcilliation/1-3 Years

    TECHNOLOGY EXPERIENCES

    Technical - Operating Systems/Windows/1-3 Years/

    Technical - Operating Systems///

    ADDITIONAL JOB INFORMATION

    This opportunity allows the candidate to begin a career with Aetna in a team environment that is working collectively together to maintain the financial and administrative operations for Aetna SSI. This position being in operations allows the opportunity to learn and interact with all other areas of the business; therefore giving you knowledge of the business and possible career enhancements. The Team performs many process for our customers and maintain the first claim/call resolution for each task. This team focuses on cross-training of responsibilities as a tool for growth and efficiency in completing requirements within desired goals. With each process learned an performed we ensure that Compliance has been properly adhered to with regards to Plan Sponsor and/or member activity.

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

    We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

    Together we will empower people to live healthier lives.

    Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

    We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Customer Service