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Customer Service Rep - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Newark, Delaware |
About this job
POSITION SUMMARY
The Customer Service Representative handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.
Fundamental Components:
Take inbound calls from Provider offices, facilities, and plan sponsor calls. Documents providers and plan sponsors calls. Assist with explanation of claim processing and payment to callers. Review appeal determination on claim payment/denial. Reviews claims for accurate payment and possible claim rework. Educates providers on our self-service options; Assists providers with questions on claim submission. Verifies member plan eligibility and benefits and documents applicable contact/inquiries via our internal applications. Handles call requests/inquiries for status on appeals and pre-authorizations. Performs review of Provider claim history for members for accurate claims processing.
BACKGROUND/EXPERIENCE desired:
Experience in a production environment.
Customer Service experiences in a transaction based environment such as a call center or retail location preferred.
EDUCATION
The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
ADDITIONAL JOB INFORMATION
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 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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Business Support & Technical
The Customer Service Representative handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.
Fundamental Components:
Take inbound calls from Provider offices, facilities, and plan sponsor calls. Documents providers and plan sponsors calls. Assist with explanation of claim processing and payment to callers. Review appeal determination on claim payment/denial. Reviews claims for accurate payment and possible claim rework. Educates providers on our self-service options; Assists providers with questions on claim submission. Verifies member plan eligibility and benefits and documents applicable contact/inquiries via our internal applications. Handles call requests/inquiries for status on appeals and pre-authorizations. Performs review of Provider claim history for members for accurate claims processing.
BACKGROUND/EXPERIENCE desired:
Experience in a production environment.
Customer Service experiences in a transaction based environment such as a call center or retail location preferred.
EDUCATION
The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.
ADDITIONAL JOB INFORMATION
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 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.
We conduct pre-employment drug and background testing. Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Employment Type Regular Career Band Description Business Support & Technical