Aetna Work From Home Jobs NJ $26/Hour - Work from Home Jobs - VacancyGlobal
Posted 2025-03-15Aetna Work From Home Jobs NJ $26/Hour
Post Name: Call Center Representative
Hiring Organization: ?Aetna
Industry: Private
Employment Type: Full Time
Salary: $26-$35/Hour
Job Location: New Jersey, USA
DESCRIPTION:
Deliver Your Coronary Heart To CVS Health Every One Folk At CVS Health Shares A Unmarried, Clear Motive: Bringing Our Heart To Every Moment Of Your Fitness. This Cause Guides Our Dedication To Supply Better Human-Centric Fitness Take Care Of A Rapidly Converting International. Anchored In Our Logo ? With Heart At Its Middle ? Our Motive Sends A Non-Public Message That How We Supply Our Services Is Simply As Vital As What We Deliver. Aetna Work From Home Jobs NJ
Our Coronary Heart At Work Behaviors? Help This Cause. We Need All People Who Work At CVS Health To Feel Empowered By Using The Position They Play In Transforming Our Tradition And Accelerating Our Capacity To Innovate And Supply Answers To Make Fitness Care Extra Private, Handy, And Priced. Aetna Work From Home Jobs NJ
This Role Could Be Onsite In The Course Of The Education Period At 101 Robinson N Robinson Ave, OKC Adequate 73102, Third Ground. It Will Then Be Moved To Make Money Working From Home. Aetna Work From Home Jobs NJ
The Schooling Scheduled Is Predicted To Be 4 Weeks (Beginning On Nov. 13th), 8 am ? 5 pm ET, Monday-Friday (This Can Be Difficulty To Trade). Aetna Work From Home Jobs NJ
Function Precis
Liable For Growing Member And Provider Delight, Retention, And Growth By Using Efficaciously Delivering Competitive Services To Contributors And Providers Through A Fully Integrated Enterprise Staffed Through Informed, Purchaser-Targeted Specialists Supported By Exemplary Technologies And Methods. Customer Support Consultant Is The Face Of Aetna And Impacts Participants' Carrier Enjoy By Way Of Manner Ways Customer Support Inquiries And Problems Through Cellphone, Net Or Written Correspondence Are Handled Aetna Work From Home Jobs NJ
Consumer Inquiries Are Of Fundamental And Instances Complex Nature.
Engages, Consults, And Educates Contributors Primarily Based Upon The Member's Unique Needs, Alternatives, And Knowledge Of Aetna Plans, Equipment, And Sources To Assist Manual Individuals Alongside A Clear Route To Care. Aetna Work From Home Jobs NJ
Solutions Questions And Resolves Problems Primarily Based On Smartphone Calls/Letters From Members, Carriers, And Plan Sponsors. Triages Ensuing Transform To Suitable Group Of Workers. Aetna Work From Home Jobs NJ
Files And Tracks Contact With Participants, Carriers, And Plan Sponsors. The CSR Guides The Member Through Their Member's Plan Of Benefits, Aetna Coverage, And Approaches As Well As Having Know-How Of Assets To Comply With Any Regulatory Recommendations.
Creates An Emotional Connection With Our Contributors By Way Of Knowledge And Tasty The Member To The Fullest To Champion Our Members' High-Quality Health.
Taking Responsibility To Absolutely Recognize The Member?s Needs By Constructing A Trusting And Caring Dating With The Member.
Anticipates Patron Wishes. Gives The Purchaser Associated Facts To Reply to The Unasked Questions, E.G. Extra Plan Information, Advantage Plan Info, Member Self-Carrier Gear, And So Forth.
Uses Customer Service Threshold Framework To Make Economic Choices To Resolve Member Issues.
Explains Member's Rights And Obligations By Contract.
Procedures Declare Referrals, New Claim Handoffs, Nurse Reviews, Proceedings (Member/Issuer), Criticism, And Appeals (Member/Issuer) Through the Target Machine.
Educates Carriers On Our Self-Carrier Alternatives; Assists Carriers With Credentialing And Re-Credentialing Issues. Aetna Work From Home Jobs NJ
Responds To Requests Received From Aetna's Regulation File Middle Regarding Litigation; Complaints. Aetna Work From Home Jobs NJ
Handles Great Record Assessment Requests.
Assists In Training Of Grievance Fashion Reviews. Assists In Compiling Claim Records For Customer Audits. Aetna Work From Home Jobs NJ
Determines Medical Necessity and relevant Coverage Provisions And Verifies Member Plan Eligibility Regarding Incoming Correspondence And Inner Referrals.
Handles Incoming Requests For Appeals And Pre-Authorizations Not Treated By Medical Declare Control. Aetna Work From Home Jobs NJ
Plays Review Of Member Claim History To Make Sure Accurate Tracking Of Benefit Maximums And/Or Coinsurance/Deductible. Aetna Work From Home Jobs NJ
Plays Monetary Facts Renovation As Vital.
Makes Use Of Relevant Gadget Tools And Resources To Provide the Best Letters And Spreadsheets In Reaction To Inquiries Acquired.
Strong Technical Know-How Of The Characteristic Being Trained.
Required Qualifications
Customer Support Stories In A Transaction-Based Environment Consisting Of A Name Center. Aetna Work From Home Jobs NJ
Experience In Production Surroundings.
Desired Qualifications
Medicaid Or Fitness Care Enjoy.
Schooling
High Faculty Or GED Equivalent.