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.
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.
ADDITIONAL JOB INFORMATION
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.