Aetna Sr Eligibility Consultant in High Point, North Carolina

Req ID: 51685BR

POSITION SUMMARY

This position is specifically focused to support the end to end eligibility process of a new large client. This includes setting up and maintaining an electronic 834 eligibility daily change, coordinating and correcting all fallout daily, escalating and collaborating with business partners to resolve issues in timely manner, developing and managing manual processes as needed, and recommending process improvements to develop efficiencies going forward.

Fundamental Components:

Must have electronic file experience. Must be creative problem solver and excellent communication skills. Ability to work independently. Detailed process oriented mindset required.

BACKGROUND/EXPERIENCE desired:

Minimum 5 years experience in electronic files. Proven track record of quickly resolving fallout and reducing occurrences in future. Ability to understand system limitations and recommend and implement alternate client friendly solutions.

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Customer Service/Customer Service - Plan Sponsor - Eligibility - Traditional/4-6 Years

Functional - Customer Service/Customer Service - Plan Sponsor - Enrollment - Traditional/4-6 Years

REQUIRED SKILLS

Technology/Leveraging Technology/ADVANCED

Technology/Selecting and Applying Technology Solutions/ADVANCED

General Business/Communicating for Impact/ADVANCED

DESIRED SKILLS

Leadership/Anticipating and Innovating/MASTERY

Service/Working Across Boundaries/ADVANCED

Service/Providing Solutions to Constituent Needs/ADVANCED

Telework Specifications:

Must be full time in office, no exception, in any one of the following options: Sunrise, FL; Hartford, FL or HighPoint, NC. All other Aetna offices will be considered upon request based on experience of candidate.

ADDITIONAL JOB INFORMATION

Aetna International is looking for excited, creative individuals to join the team.

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