Aetna Network Relations Spec in Sunrise, Florida

Req ID: 52633BR

POSITION SUMMARY

Provide optimal service to all contracted providers, including hospitals, physicians and ancillary groups. Receive incoming calls and assist with claims and appeal reviews, provider training and education.

Fundamental Components:

Provide optimal service to all contracted providers, including hospitals, physicians and ancillary groups. Assists with claims and appeal reviews, provider training and education

BACKGROUND/EXPERIENCE:

Experience working with physicians and/or hospitals.

Claims experience

Excellent written and verbal communication

Provide exemplary service

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Network Management/Provider relations/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

ADDITIONAL JOB INFORMATION

Part of a successful health plan with proven track record, expected significant growth, stability and opportunity,

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 candidates'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: Health Care