Aetna Work From Home Opportunities Near Me (Remote Jobs)

Job Responsibilities: Inbound/Outbound Queue Associate

Salary: $25-35/ Hour

Company: Aetna

Location: Alabama, USA

Educational Requirements: High School

Full Job Description :

Position Summary

Supports whole coordination of clinical services alongside intake, screening, and referrals to Aetna Better Health.
Promotes/facilitates pleasant effectiveness of Healthcare Services.
Performs intake of calls from people or organizations regarding services through telephone, fax, and EDI.
Utilizes Aetna system to build, research and enter member statistics.
Screens requests for appropriate referral to clinical services staff.
Approve services that do not require a systematic comparison in accordance with the gain plan.
Performs non-clinical research alongside eligibility verification, COB, and blessings verification.
Maintains accurate and complete documentation of required statistics that meets chance management, regulatory, and accreditation requirements.
Promotes communication, internally and externally to enhance the effectiveness of clinical management services (e.g., claim administrators, Plan Sponsors, and third-party payers similarly to member, family, and health care team people respectively), Aetna Work From Home Opportunities Near Me
Protects the confidentiality of member statistics and adheres to company guidelines regarding confidentiality.
Communicate with Aetna Case Managers, while processing transactions for people lively in this Program.
Supports the control of the precertification approach in compliance with several criminal hints and guidelines and/or NCQA standards, which are applicable, while adhering to company insurance and procedures.
Places outbound calls to organizations to provide statistics or benefit clinical statistics for approval of clinical authorizations.
Uses Aetna Systems alongside MedCompass, QNXT, ProFAX and ProPAT.
Communicates with Aetna Nurses and Medical Directors while processing transactions for people lively in this Program.
Sedentary work regarding great durations of sitting, talking, hearing, and keying. Remote Jobs
Work requires seen acuity to perform close inspection of written and computer-generated documents similar to a PC monitor.

Required Qualifications

1 12 months enjoy working as a systematic assistant, place of business assistant or unique clinical/identical experience. Aetna Work From Home Opportunities Near Me

Preferred Qualifications

1 12 months Call center experience
1 12 months Prior authorization experience
Associates degree preferred

Education

High School Diploma or identical GED, Remote Jobs

Business Outline

Carry your heart to CVS Wellbeing All of us at CVS Wellbeing share a solitary, clear reason: Carrying our heart to each snapshot of your wellbeing. This reason directs our obligation to convey upgraded human-driven medical care for a quickly influencing world. Secured in our image — with the heart at its middle — our motivation sends an individual message that how we convey our administrations is pretty much as significant as what we convey. Our Heart At Work Behaviors™ supports this reason. We need every individual who works at CVS Wellbeing to feel enabled by the job they play in changing our way of life and speeding up our capacity to develop and convey answers to make medical care more private, helpful and reasonable. We endeavor to advance and support a culture of variety, consideration and having a place consistently. CVS Wellbeing is a governmental policy regarding minorities in society boss and is an equivalent open door manager, just like the doctor claimed organizations for which CVS Wellbeing gives the executives administrations. We don’t separate in selecting, recruiting, advancement, or some other staff activity in light of race, nationality, variety, public beginning, sex/orientation, sexual direction, orientation personality or articulation, religion, age, handicap, safeguarded veteran status, or some other trademark safeguarded by relevant government, state, or nearby regulation. We gladly support and empower individuals with military experience (dynamic, veterans, reservists and Public watchmen) as well as military life partners to go after CVS Wellbeing position potential open doors.

Aetna Work From Home Opportunities Near Me

While the specific rules and responsibilities of companies in the United States can vary depending on factors such as industry, size, and location, there are some common rules and responsibilities that many companies adhere to. Here are a few examples:

Compliance with labor laws: Companies in the United States are required to comply with various labor laws, such as the Fair Labor Standards Act (FLSA), which establishes minimum wage, overtime pay, and child labor standards. They must also adhere to laws related to workplace safety and health, including the Occupational Safety and Health Act (OSHA).
Equal employment opportunity: Companies are expected to provide equal employment opportunities to all individuals, regardless of their race, color, religion, sex, national origin, age, disability, or genetic information. This includes complying with laws such as Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA).
Payroll and tax obligations: Companies are responsible for properly handling payroll, including calculating and withholding taxes from employees’ wages, and submitting the required tax payments to federal, state, and local tax authorities. They must also provide employees with necessary tax forms, such as W-2s.
Workplace safety and security: Companies must provide a safe and secure work environment for their employees. This includes implementing safety protocols, providing necessary safety training, maintaining equipment and facilities, and addressing potential hazards.
Non-discrimination and harassment policies: Many companies have policies in place to prevent discrimination and harassment in the workplace. These policies often include procedures for reporting and addressing complaints, as well as consequences for violators.
Privacy and data protection: Companies are expected to handle the personal and sensitive information of their employees and customers responsibly. This may involve implementing measures to protect data privacy, complying with applicable data protection laws, and informing individuals about the collection, use, and storage of their personal information.
Ethical conduct and corporate social responsibility: Companies are encouraged to conduct their business ethically and responsibly. This may include promoting fair trade practices, adhering to environmental regulations, supporting social causes, and practicing transparency in their operations.

Aetna Work From Home Opportunities Near Me (Remote Jobs)