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Did you apply to this job at the employer's site? If so, please click "Applied for Job" to save it to your "Application History" page. If not, click on "Did Not Apply" to return to the job post. Spanish bilingual Customer Service Representatives answer inquiries from our Medicare Advantage members via inbound calls, internet inquiries, and written correspondence. CSRs must be able to deal compassionately with Medicare beneficiaries on a one-on...
He/She will review and adjudicate complex, sensitive, and/or specialized claims in accordance with processing guidelines. At least 2 years of relevant experience is required. You will assess members, coordinate care, review claims, and maximize member engagement for best outcomes. Requires an active RN license, 5+ years of clinical practice experience, your own vehicle, and a valid license. Telecommute with significant travel.
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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. 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. BA degree required and five years of experience. 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.
And we do it all with heart, each and every day. Aetna International is growing and has many exciting opportunities for qualified individuals. The work we do in our offices throughout the United States, Europe, Asia and the Middle East requires talented individuals committed to helping our business grow. Our work environment is fun, challenging, innovative and entrepreneurial. We recognise the impact and importance of diversity, and are committed to professional development to ensure our and your future success.
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How much do Aetna Insurance jobs pay? The average Aetna hourly pay ranges from approximately $19 per hour for a Customer Service to $47 per hour for a Registered Nurse. 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. Manage patient cases to ensure quality and medical appropriateness. Work remotely with clients over the telephone to provide consulting and review.
Needs to review the security of your connection before proceeding. Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required. Will review clinical information, interface with staff, adhere to guidelines and provide industry-specific expertise. RN license and 3+ years' related experience required. The sr. claims data specialist will handle claim data management processes, help create product offerings, & lead process improvements.
About CVS Health
The company serves individuals and groups in all 50 states and maintains a healthcare network comprised of more than 1 million healthcare professionals and 5,700 hospitals. You have been redirected to an Aetna International site. 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. Remote in pandemic, 2nd shift hours.
We are an equal opportunity and affirmative action employer. The insurance benefits verification representative will verify health insurance coverage and process prescription orders. This is currently a remote position. Candidates need MS Office skills and a year of relevant experience in a healthcare setting. Handle inbound phone calls that include prescription refills, order status, and insurance coverage.
Requires at least three years' claim processing experience & a year of recent customer service exp. Will address health indicators, conduct assessments, coordinate activities and resolve issues. Bachelor's degree and 3+ years' related experience required. 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.
We have opportunities for you to work with purpose across our organisation. Explore jobs by location or category below. Transcription is another type of work from home job that is interchangeably used with data entry and typing jobs. At the most basic level transcription is simply typing audio versions of documents. This could be lectures, workshops, conference calls, podcasts, and more.
Five years' RxClaim exp. and HS diploma req. 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. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health.
Must have exp. with Windows and MS Office. CVS Health is the leading health solutions company that delivers care in ways no one else can. 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.
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. Aetna offers a wide range of health insurance services and products to over 50 million network members, including medical, pharmacy, dental, behavioral health, disability, and group life plans.
Must have 5 years of case management experience, RN license, and a bachelor's degree. Aetna, a CVS Health company, is an equal opportunity/affirmative action employer. Gender/Minority/Disability/Protected Veteran — committed to diversity in the workplace. The remote customer service rep will support specialty pharmacy patients by assisting with prescription refills & answering order or insurance inquiries. Qualifications include a HS diploma or the equivalent & a year of customer service experience.
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Aetna Group has developed an ongoing training plan that allows it to effectively guarantee the quality and professionalism of its brands and staff all over the world, in line with the One Global Company policy that characterizes the company. For Aetna Group, enhancing the value of its resources also means being constantly open to listening to the needs expressed by its employees and paying attention to identifying suitable growth paths through competence assessment processes. To get this high-paying work-from-home leadership job, you typically need experience in sales management and a record of success in sales. These executives work to strengthen relationships with existing clients and bring in new clients.
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