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Customer Service Rep
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Cranberry, Pennsylvania |
About this job
POSITION SUMMARY
Handle provider inquiries and problems via telephone, internet or written correspondence. Provider inquiries are of basic and routine nature.
Fundamental Components:
Highly self-motivated and able to work well in a fast-paced environment. Must have strong organizational skills with the ability to multi-task.
Interfaces with Providers via telephone, written correspondence, fax, web and/or electronic mail to respond to inquiries and resolve issues or concerns. Must have effective verbal & written communication skills.
Researches, analyzes and explains information by effectively using technical tools in response to inquiries including but not limited to member eligibility and benefits, authorizations, claims payments, denials, and coordination of benefits
Verifies applicable contract terms and fee schedules
Educates Providers on our Self Service options
Assists Providers with Credentialing and Re-Credentialing issues
Documents interactions with Providers and completes transactions including appropriate adjustments. Takes full responsibility for following items thru to closure.
Possesses the ability to maintain production levels and quality goals and stay current on all required internal Compliance courses
Able to maintain regular and consistent attendance in accordance with company and departmental policies and procedures.
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.
FUNCTIONAL EXPERIENCES
Functional - Customer Service/Customer service - transaction based environment/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Explorer/1-3 Years/End User
ADDITIONAL JOB INFORMATION
Aetna offers a full compliment of benefits to include Paid Time Off for vacations and sick time; Eight paid holidays; 401K; Health, vision, dental and life insurance options; Wellness Programs to name a few. In addition as a member of our team you will receive:
- Regular performance reviews and feedback
- Recognition and appreciation for a job well done
- Ongoing support from staff
- Strong emphasis on professional development and career opportunities
- Comfortable working environment
- Numerous opportunities for participation and volunteer in committees and charitable activities
- Pride in working for a Fortune 500 company in Cranberry Twp., PA
Successful candidates MUST:
- Be flexible to work overtime
- Pass a mandatory drug screen
- Pass a comprehensive background check including verification of you employment and criminal record
- Be at least 18 years old
The shift is 8 hours long between 8:am and 6pm, Monday through Friday. Over may be required as business needs dictate. Training for this position will be Monday through Friday for 8 weeks (classroom and on the job training). You MUST attend every day of training with no absences. Youll have service expectations and goals and will be monitored for efficiency, accuracy and customer satisfaction.
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
Handle provider inquiries and problems via telephone, internet or written correspondence. Provider inquiries are of basic and routine nature.
Fundamental Components:
Highly self-motivated and able to work well in a fast-paced environment. Must have strong organizational skills with the ability to multi-task.
Interfaces with Providers via telephone, written correspondence, fax, web and/or electronic mail to respond to inquiries and resolve issues or concerns. Must have effective verbal & written communication skills.
Researches, analyzes and explains information by effectively using technical tools in response to inquiries including but not limited to member eligibility and benefits, authorizations, claims payments, denials, and coordination of benefits
Verifies applicable contract terms and fee schedules
Educates Providers on our Self Service options
Assists Providers with Credentialing and Re-Credentialing issues
Documents interactions with Providers and completes transactions including appropriate adjustments. Takes full responsibility for following items thru to closure.
Possesses the ability to maintain production levels and quality goals and stay current on all required internal Compliance courses
Able to maintain regular and consistent attendance in accordance with company and departmental policies and procedures.
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.
FUNCTIONAL EXPERIENCES
Functional - Customer Service/Customer service - transaction based environment/1-3 Years
TECHNOLOGY EXPERIENCES
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft Explorer/1-3 Years/End User
ADDITIONAL JOB INFORMATION
Aetna offers a full compliment of benefits to include Paid Time Off for vacations and sick time; Eight paid holidays; 401K; Health, vision, dental and life insurance options; Wellness Programs to name a few. In addition as a member of our team you will receive:
- Regular performance reviews and feedback
- Recognition and appreciation for a job well done
- Ongoing support from staff
- Strong emphasis on professional development and career opportunities
- Comfortable working environment
- Numerous opportunities for participation and volunteer in committees and charitable activities
- Pride in working for a Fortune 500 company in Cranberry Twp., PA
Successful candidates MUST:
- Be flexible to work overtime
- Pass a mandatory drug screen
- Pass a comprehensive background check including verification of you employment and criminal record
- Be at least 18 years old
The shift is 8 hours long between 8:am and 6pm, Monday through Friday. Over may be required as business needs dictate. Training for this position will be Monday through Friday for 8 weeks (classroom and on the job training). You MUST attend every day of training with no absences. Youll have service expectations and goals and will be monitored for efficiency, accuracy and customer satisfaction.
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