Aetna Assoc Eligibility Cnslt in Moon township, Pennsylvania

Req ID: 43705BR


Under general supervision, verifies enrollment information, makes changes to member demographic data , and calls members to update addresses data in the enrollment systems. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements.

Fundamental Components:

Meet Monthly Metrics as defined by department

Take ownership to resolve customer issues using all available resources including address change process flows and CMS guidance

Participate in cross training on various products and platforms to ensure Enrollment metrics are met

Demonstrate professionalism, active listening skills and processing knowledge when communicating with internal and external customers

Learn how your work affects internal audit processes by working with seniors and eligibility consultants when errors are brought to your attention

Utilize internal audits and suggestions to help improve your personal work

Meet Departmental attendance expectations

Identify coaching opportunities and escalate to a Senior or Supervisor

Keep a positive attitude as changes occur


Effective organization skills and attention to detail.

Maintain great working relationships with sound judgment and responsibility.

Effective communications, organizational, and interpersonal skills.

Demonstrated problem solving skills

Ability to analyze and research data to make appropriate corrections as necessary.

Some Medicare industry experience


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

Telework Specifications:

Existing teleworkers will be considered for continued telework

All other candidates: Option for telework will be evaluated after six months to one year of employment in the department


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.

Job Function: Customer Service