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Posted: Sunday, January 7, 2018 6:30 PM

POSITION SUMMARY

Plan Sponsor Service Consultant (PSSC) will support Middle Market (MM) Billing and Eligibility functions for the Central Territory (IA, NE, KS, W. MO, S. IL, ND, and SD). Individual is the single point of contact (SPOC) for his/her assigned accounts. Individual will be responsible to accurately and timely processing of eligibility into Aetna systems, provide accurate bills, ID cards and audit cert lists. Ensures premiums are collected timely and accurately allocated across all benefits and account structure.

Fundamental Components:

* Fundamental Components & Physical Requirements include but are not limited to (* denotes essential functions)

* Performs a minimum of 2-3 plan sponsor functions daily that may include a combination of enrollment, eligibility, product/list billing, collections, accounts receivable/billing, cash control, drafting, plan coordination and installation duties. (*)

* Utilizes and interprets available resources, standard reference materials, and plan sponsor benefits to ensure customers benefit administration needs are satisfied. (*)

* Under general direction, assists with the investigation, analysis and development of solutions to client-specific (internal and external) problems. (*)

* Maintains customer files, including telephone call documentation/logs and other related correspondence in support of department audits. (*)

* Completes the accurate and timely set-up of benefits, account structure, rates, and enrollment and confirms all changes to be in compliance with state and Federal legislative mandates. (*)

* Reviews and corrects transaction errors generated through enrollment and eligibility interfaces. (*)

* Monitors and manages internal installation process and maintains case tracking tools in support of client satisfaction.(*)

* Prepares employer contracts and/or assembles documents and state specific forms for employer distribution; ensures group agreements are signed and returned for quality auditing purposes. (*)

* Inputs work into internal tracking system and measurement systems within established timeframes to support management and business initiatives; prepares information for imaging or microfilm processing. (*)

* Partners with other internal business areas and department counterparts to deliver services and products that are properly aligned with customers benefit requirements. (*)

* May assign control numbers for new and/or existing business.

* May participate on team, regional, or company-wide projects.

BACKGROUND/EXPERIENCE desired:

Strong Microsoft Product skills (Outlook, Excel, Word and Access)

Attention to detail and accuracy.

Problem solving skills.

Math and accounting skills.

Ability to analyze financial information and reports.

Strong organization skills.

Ability to prioritize tasks/work effectively.

Strong verbal and written communication skills.

Healthcare experience preferred.

EDUCATION

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

LICENSES AND CERTIFICATIONS

Customer Service/ is desired

Finance/ is desired

Insurance/ is desired

Office Support/ is desired

FUNCTIONAL EXPERIENCES

Functional - Finance/Financial reporting and analysis/1+ Years

Functional - Customer Service/Customer Service - Plan Sponsor - Account Receivable/1+ Years

TECHNOLOGY EXPERIENCES

Technical - Operating Systems/Windows/1+ Years/End User

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

Service/Case Administration/FOUNDATION

Service/Handling Service Challenges/FOUNDATION

DESIRED SKILLS

Leadership/Collaborating for Results/FOUNDATION

Service/Creating a Differentiated Service Experience/ADVANCED

Service/Working Across Boundaries/FOUNDATION

Telework Specifications:

Location of position is open provided individual can work till 5:00 PM CST to support the MM Central Territory. Telework position would only be available to any existing internal employee in a telework position, we would not be hiring or transferring anyone into a telework position.

ADDITIONAL JOB INFORMATION

Aetna is seeking an enthusiastic and adaptive individual to be part of our billing and eligibility team. This candidate must have ability to function in a fast paced environment and have strong communication skills. Individual will have an opportunity to be an advocate for our members, ensuring they always get the best health by helping them get the most from their benefit plan.

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

SDL2017

Source: http://www.jobs2careers.com/click.php?id=4786857414.96


• Location: Salt Lake City, Sandy

• Post ID: 17940777 saltlakecity
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