The job below is no longer available.
Electronic Eligibility Consultant - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Okemos, Michigan |
About this job
In this role, candidates can work out of the Okemos, MN, Plymouth, MN or Amherst, NY office.
Candidates must have at least 1 years of experience working in a Customer Service environment.
POSITION SUMMARY
Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates electronic transfer of eligibility data.
Customer facing interactions with clients and vendors demanding high levels of responsiveness.
Fundamental Components:
Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes. Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors. Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting; identifies potential solutions and approves programming specifications required for testing any non-standard arrangements. Must possess the ability to work well in a team environment with a drive for individual success and a focus on overall team success. Ensures all transactions interface accordingly with downstream systems; tests and validates data files for new or existing clients using system tools and tracks results to avoid potential problems and better address on-going service issues.
Demand is increasing for this type of position and there are growth opportunities for right candidates.
BACKGROUND/EXPERIENCE desired:
Professionalism to interact with clients, vendors and business partners as a representative of the Electronic Enrollment Department. Responsiveness to inquiries within established service level agreements. Prioritization and organization skills must be strong in order to manage assigned case load and meet responsiveness expectation. Candidates must have strong computer skills and previous experience working within Customer Service.
EDUCATION
The level of education required for candidates in this position is at least an Associate's degree with relevant experience.
REQUIRED SKILLS
Customer Service Required
Leadership/Collaborating for Results
Computer Skills/Microsoft Office Suite Required
Leadership/Creating Accountability
Service/Handling Service Challenges
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 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.
Employment Type Regular Career Band Description Business Support & Technical
Candidates must have at least 1 years of experience working in a Customer Service environment.
POSITION SUMMARY
Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates electronic transfer of eligibility data.
Customer facing interactions with clients and vendors demanding high levels of responsiveness.
Fundamental Components:
Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes. Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors. Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting; identifies potential solutions and approves programming specifications required for testing any non-standard arrangements. Must possess the ability to work well in a team environment with a drive for individual success and a focus on overall team success. Ensures all transactions interface accordingly with downstream systems; tests and validates data files for new or existing clients using system tools and tracks results to avoid potential problems and better address on-going service issues.
Demand is increasing for this type of position and there are growth opportunities for right candidates.
BACKGROUND/EXPERIENCE desired:
Professionalism to interact with clients, vendors and business partners as a representative of the Electronic Enrollment Department. Responsiveness to inquiries within established service level agreements. Prioritization and organization skills must be strong in order to manage assigned case load and meet responsiveness expectation. Candidates must have strong computer skills and previous experience working within Customer Service.
EDUCATION
The level of education required for candidates in this position is at least an Associate's degree with relevant experience.
REQUIRED SKILLS
Customer Service Required
Leadership/Collaborating for Results
Computer Skills/Microsoft Office Suite Required
Leadership/Creating Accountability
Service/Handling Service Challenges
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 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.
Employment Type Regular Career Band Description Business Support & Technical
Your Privacy Choices