Inbound/Outbound Queue Assoc

Supports comprehensive coordination of medical services including intake, screening and referrals. Promotes/supports quality effectiveness of Healthcare Services.
Fundamental Components:
As an Inbound Queue Associate at American Health Holding Inc.- an Aetna company, you will be supporting comprehensive coordination of medical services including intake, screening and referrals to American Health Holdings Medical Service Programs. This includes promoting and supporting quality effectiveness of Healthcare Services.
We require:
Call center experience strongly preferred
Minimum of 2 years direct customer/patient contact required
Experience with Medical Terminology, Billing/Coding, Healthcare strongly preferred
Precertification experience extremely helpful
Excellent computer skills with Windows experience
Excellent verbal and written communication skills
Detail oriented
Must be a self-starter
Must be able to work well independently as well as in a group setting
Must be able to work holidays (pay would be adjusted for holiday hours)
Shifts for this position will be 8 hours between 8:00am and 8:00pm, Monday through Friday. Schedules will rotate on a regular basis. You must be available to work any shift within these hours.
Training for this position will be Monday through Friday between 8:00am and 5pm for 4 weeks. You must attend every day of training with no absences. You'll have service expectations and goals and will be monitored for efficiency, accuracy and customer satisfaction.
2+ years experience as a medical assistant, office assistant or other clinical experience. Call center experience/ heath insurance claims processing a plus.
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
General Business/Communicating for Impact/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
Service/Handling Service Challenges/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 candidate'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.
Employment Type Regular Career Band Description Business Support & Technical

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