Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Inb/Outb Queue Assoc

Expired Job

Aetna Inc. Atlanta , GA 30301

Posted 2 months ago

Job Description:


Supports comprehensive coordination of medical services including intake, screening and referrals to Aetna Medical Service Programs. Promotes/supports quality effectiveness of Healthcare Services within a structured high volume Call Center environment.

Fundamental Components:

Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues.


  • Experience in a fast paced high volume inbound call center and strong customer services skills are required.

  • Ability to understand and articulate clinical documentation and notes.

  • Medical terminology is preferred.

  • Strong computer skills, experience in a Windows based environment and the ability to use multiple systems simultaneously to search out information.

  • Excellent attendance & punctuality is essential.

  • Ability to problem solve and independently deescalate difficult calls by recognizing/investigating the issue and asking the appropriate questions.

  • Ability to adapt to change and be comfortable in a fast paced structured environment.


The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

Functional Skills:

  • Functional - Customer Service/Customer service - production environment/1-3 Years


  • General Business/Communicating for Impact/ADVANCED
  • Service/Creating a Differentiated Service Experience/ADVANCED
  • Service/Demonstrating Service Discipline/FOUNDATION


  • General Business/Maximizing Work Practices/ADVANCED
  • Service/Providing Solutions to Constituent Needs/FOUNDATION
  • Service/Working Across Boundaries/FOUNDATION


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.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Assoc Prior Authorization Specialist


Posted 2 weeks ago

VIEW JOBS 11/29/2018 12:00:00 AM 2019-02-27T00:00 Role and Responsibility: * Assists with Utilization Management processes * Convert information obtained from providers/members, (received via fax, phone or mail) into electronic records * Facilitate/assist the authorization of benefits for out-of-network providers including completion of appropriate forms that are distributed to physicians' offices, provider relations and the generation of approval letters * Assist with authorizations as directed by desk references * Complete necessary contact with provider/member to verify newborn information * Input required data into system for newborns * Provide authorization number to provider or facility * Assist PCC team support as directed * Maintain knowledge and understanding of all processes and procedures for assigned market on faxes and phones * Adhere to all departmental and company policies and procedures * Perform any other job related instructions, as requested Requirements Education / Experience: * High School Diploma or equivalent required * Minimum of one (1) year of clinical and/or insurance experience, or related healthcare education or certification (i.e. STNA, MA, etc.) is required * Managed care experience preferred Required Competencies / Knowledge / Skills: * Computer proficiency with knowledge and experience with Microsoft Office in a Windows based environment * Ability to analyze information * Communication skills * Ability to work independently and within a team environment * Attention to detail * Proper grammar usage * Critical listening and thinking skills * Professional phone etiquette * Customer service oriented * Decision making/problem solving * Change resiliency * Knowledge of behavioral health systems * Ability to accurately communicate summary information in a written format Licensure / Certification: * Medical Terminology Certificate is preferred Working Conditions: * General office environment; may be required to sit/stand for long periods of time * Position requires the flexibility to work weekends and/or holidays, as needed Apply On-lineSend This Job to a Friend Copyright © Ultimate Software Caresource Atlanta GA

Inb/Outb Queue Assoc

Expired Job

Aetna Inc.