Aetna Plan Sponsor Service Consultant in Moon township, Pennsylvania

Req ID: 41965BR

POSITION SUMMARY

We are currently seeking a Plan Sponsor Service Consultant to join our team. The PSSC will reconcile transaction errors generated from internal systems, make outbound calls to resolve enrollment eligibility and monitor submission responses received from the Centers of Medicare and Medicaid Services (CMS).

Fundamental Components:

The Plan Sponsor Service Consultant (PSC) must have the ability to multi-task, retain and apply acquired knowledge throughout the review processes. Investigate enrollment discrepancies, correctly resubmit transactions, and create review packages as needed. Participate on team, regional, or company-wide projects as assigned. The ability to build and maintain relationships with other departments is highly desired. Candidate must be proficient in Microsoft Excel. Microsoft Access skills are a plus. Must be available to work hours between 7AM 7PM EST Monday through Saturday. Overtime may be required during peak business times or as business dictates.

BACKGROUND/EXPERIENCE desired:

  • Strong organization skills

  • Ability to prioritize tasks/work effectively

  • Strong verbal and written communication skills

  • Experience with enrollment of eligibility preferred

    EDUCATION

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

    FUNCTIONAL EXPERIENCES

    Functional - Administration / Operations/Data Entry/4-6 Years

    Functional - Customer Service/Customer service - production environment/4-6 Years

    Functional - General Management/Process & quality improvement/4-6 Years

    TECHNOLOGY EXPERIENCES

    Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User

    Technical - Database/Microsoft Access/1-3 Years/End User

    REQUIRED SKILLS

    General Business/Maximizing Work Practices/FOUNDATION

    Technology/Leveraging Technology/FOUNDATION

    Leadership/Driving a Culture of Compliance/FOUNDATION

    DESIRED SKILLS

    Service/Working Across Boundaries/FOUNDATION

    Service/Handling Service Challenges/FOUNDATION

    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 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