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Candidate will provide member care and customer service. Will build relationships with members, help with navigation of healthcare system, and connect member with resources. Aetna Clinical Policy Bulletins are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin related to their coverage or condition with their treating provider.
Help millions of people live healthier lives
Handle inbound phone calls that include prescription refills, order status, and insurance coverage. Pharmacy Technician license/certificate and customer service experience are required. Founded in 1850 but incorporated in 1982, Aetna provides high-quality healthcare and protects consumers financially from health-related risks. In 2018, Aetna joined CVS Health, embarking on a mission to offer an innovative new healthcare model that enables better health at a lower cost.
We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Verify insurance coverage in order to process patient prescription orders in a timely manner. Must have a high school diploma and 1+ years experience in healthcare environment.
(A Division of CVS Health)
WFH job for candidate who will own the specialty benefits automation strategy and vision, maintain an outcome-oriented product roadmap, prioritize features and capabilities, and decide when to deliver software. Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required. Design conceptual models, handle clinical initiative planning, ongoing client relationship management, and provide guidance to internal/external partners and vendors. Work remotely during CST or EST and travel to Falls Church, VA or Minneapolis, MN.
Partial remote position will perform applied statistical research/customer analysis of healthcare data, make recommendations about data collection methods, present analytic reports, and deliver solutions. Respond to inbound calls and live chat from healthcare customers, provide information about company services, and resolve customer service questions. Requires 1 year customer service experience and Spanish fluency.
aetna commitment
For current employers, health care professionals and producersget the Aetna logo. At Perficient, you'll deliver mission-critical technology and business solutions to Fortune 500 companies and some of the most recognized brands on the planet. Aetna, a CVS Health company, is an equal opportunity/affirmative action employer. Gender/Minority/Disability/Protected Veteran — committed to diversity in the workplace.
No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Any use of CPT outside of Aetna Clinical Policy Bulletins should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms.
About Aetna International
They share a smile, an assuring voice, a helping hand. Read their stories, watch their videos, and celebrate our amazing heroes along with us. Save time and find higher-quality jobs than on other sites, guaranteed. We include these past jobs as a way for you to explore what kinds of remote and flexible jobs Aetna has hired for in the past and might be likely to hire for again in the future. The responsibility for the content of Aetna Clinical Policy Bulletins is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins .
Collaborate across teams, report analytical findings, make recommendations and analyze and synthesis high volumes of complicated data into significant insights and current data. Needs a bachelor's degree and five years' talent acquisition experience in IT. Collaborate heavily with business leaders, provide creativity and follow best practices in sourcing using CRM and ATS, deliver talent discovery. Be responsible for the Emerging Technology and Audit Automation strategy to deliver a best-in-class audit program. Must have a bachelor's degree, RN, and 5+ years healthcare/managed care experience.
We are an equal opportunity and affirmative action employer. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. If there is a discrepancy between a Clinical Policy Bulletin and a member's plan of benefits, the benefits plan will govern.
As a Customer Service Representative, the image you project over the telephone and how you handle the caller’s situation is the public’s perception of Aetna. This is a work from home opportunity for anyone living in the CST time zone. Stay in touch with our International recruiting team on social media.
Join Cleveland Clinic Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class... Teleperformance is a strategic partner to the world's leading companies, bringing solutions and enhancing customer exp... Upward Farms designs and operates complete ecosystems of plants and fish in vertical farms, supplying these organic products to local grocers... You may not be able to access certain secure sites and member pages on the Aetna International website unless you have previously registered for them or hold applicable policies.
InterGlobal is now part of Aetna, one of the largest and most innovative providers of international medical insurance. We have combined our businesses to create one market-leading health care benefits company. This means we can better serve people who depend on Aetna International and InterGlobal to meet their health and wellness needs.
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