Aetna Inb/Outb Queue Assoc in Detroit, Michigan

Req ID: 56645BR

POSITION SUMMARY

  • Supports comprehensive coordination of medical services including intake, screening and referrals to Aetna Medical Services Programs.

  • Promotes/supports quality effectiveness of Healthcare Services.

Fundamental Components:

  • Performs intake of calls from members or providers regarding services via telephone, fax, ED

BACKGROUND/EXPERIENCE desired:

  • 2-4 years experience as a medical assistant, office assistant or other clinical experience

  • Approve services that do not require a medical review in accordance with the benefit plan

  • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.

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 - Clinical / Medical/Precertification/1-3 Years

Functional - Customer Service/Customer service - production environment/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/AetNet Intranet Site: aetnet.aetna.com//1-3 Years/End User

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

Telework Specifications:

Part-Time Telework (ex: 2 days office-based, 3 days telework)

Flexible telework / office-based schedule (must live near certain office location)

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 candidates'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: Health Care

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.