Aetna Client Service Support Consultant in Blue Bell, Pennsylvania

Req ID: 51021BR

POSITION SUMMARY

Medicare Client Service team is looking for a mature professional with experience in working in a complex and fast paced organization with the ability to perform root cause research and analysis to manage multiple inquires and recommended solutions. Candidates will be required to lead change, use strategic thinking, and collaborate with other departments to ensure all issues are resolved.

Fundamental Components:

Provide problem resolution and technical assistance (with full ownership of issue until complete resolution), operational and product support on Medicare eligibility to internal Aetna constituents (Sales Account Executives, Medicare Sales staff & Broker Liaisons, Affinity Partners, NA & Regional PSS staff, and the Centers for Medicare & Medicaid Services (CMS). Complete research & review of eligibility issues utilizing email box inquiries and/or phone calls, reviewing GEBAR and Medicare databases to provide resolution & quality service. Identifies, recommends and communicates process changes & system issues, documents and implements necessary work flows to streamline resolution. Demonstrate empathy of constituents needs and priorities; demonstrates ability to achieve successful account management and meet expectations and key performance measures.

BACKGROUND/EXPERIENCE desired:

Aetna Plan Sponsor Services background in eligibility, accounts receivable & billing. Experience with Medicare (Federal & Aetna) policies & procedures are preferred. Proficient with Aetna system. Attention to detail and accuracy, problem solving, analytical and technical skills are requirements. Strong verbal and written communication skills and ability to work cross organizationally are required.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Customer Service/Customer Service - Plan Sponsor - Eligibility - HMO/1-3 Years

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

Functional - Customer Service/Customer Service - Plan Sponsor - Contract installation & maintenance/1-3 Years

Functional - Sales & Service/Sales administration, support, reporting/1-3 Years

Functional - Project Management/Cross-functional project management/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Customer Service HMO/1-3 Years/End User

Technical - Aetna Applications/HMO Enrollment/1-3 Years/End User

Technical - Aetna Applications/Medicare Letter System/1-3 Years/End User

Technical - Aetna Applications/Medicare Reply Tape Inquiry/1-3 Years/End User

REQUIRED SKILLS

Leadership/Driving a Culture of Compliance/FOUNDATION

Leadership/Creating Accountability/FOUNDATION

Service/Providing Solutions to Constituent Needs/ADVANCED

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.

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