(Data Entry) Aetna Remote Jobs – CAB

Job Responsibilities: Eligibility CNSLT Paper

Salary: $20-30/Hour

Company: Aetna

Location: South Carolina, USA

Educational Requirements: High School

Full Job Description:-

Position Summary

The Enrollment Representative function could be helping more than one fitness plans. Under wellknown supervision, verifies enrollment repute, makes modifications to member/patron records, and addresses loads of enrollment questions or concerns. Maintains enrollment databases and coordinates switch of non-digital eligibility statistics. (Data Entry) Aetna Remote Jobs

Responds, researches, and resolves eligibility and/or billing associated troubles concerning member precise records;
Works without delay with customers, area advertising places of work and/or neighborhood declare operations to reap high-quality provider outcomes.
Monitors day by day repute reviews assessing output for growing developments probably impacting provider levels.
Applies all suitable concerns related to technical necessities, legislative/regulatory policies, account shape and gain parameters in addressing eligibility matters.
Validates gain plan enrollment records for assigned customers for accuracy and completeness; coordinates the distribution of club ID playing cards and partnering with suitable inner/outside assist regions concerning any requests for ID card customization.
Completes display coding and statistics access necessities associated with the structures tactics impacting the technology and launch of member-precise and plan sponsor products (e.g., ID playing cards, alternate applications, audit lists, in-pressure lists, HIPAA certificate and diverse reviews). (Data Entry) Aetna Remote Jobs
Completes statistics access necessities for finalizing new enrollment records in addition to for modifications and/or terminations.
When necessary, evaluations and corrects transaction mistakes impacting eligibility interfaces and prepares eligibility/enrollment records for imaging.
Interprets and interprets patron blessings and helping account shape in opposition to inner structures/applications (i.e.,GEBAR, AAS, and CCI).
Determines and communicates wellknown provider fees to inner/outside clients associated with paper eligibility activities; May consist of negotiating and speaking fees concerning non-wellknown services.
Partners with different crew features to coordinate the discharge of eligibility and gain plan records; reproduces organization payments if asked through customers

Required Qualifications

Attention to element and accuracy.
Problem fixing skills.
Strong agency skills.
Understands the effect of labor to different groups and downstream assist regions.
Ability to investigate and studies statistics to make suitable corrections as necessary.
Strong verbal and written conversation skills. (Data Entry) Aetna Remote Jobs
Workplace flexibility – cappotential to evolve to alternate

Preferred Qualifications

Knowledge of Health Care and/or MCO’s.
Knowledge of Enrollment.
Knowledge Medicaid and/or Medicare.
Knowledge and comfortability with studying unique structures and the use of Excel, (Data Entry) Aetna Remote Jobs

Education

High School Diploma

Pay Range

The normal pay variety for this function is:

$20.00 – $30.45

This pay variety represents the bottom hourly fee or base annual complete-time earnings for all positions withinside the process grade inside which this function falls. The real base earnings provide will rely on a range of things together with experience, schooling, geography and different applicable factors. (Data Entry) Aetna Remote Jobs

In addition for your compensation, experience the rewards of an agency that places our coronary heart into being concerned for our colleagues and our communities. The Company gives a complete variety of medical, dental, and imaginative and prescient blessings. Eligible personnel can also additionally sign up withinside the Company’s 401(k) retirement financial savings plan, and an Employee Stock Purchase Plan is likewise to be had for eligible personnel. The Company affords a fully-paid time period lifestyles coverage plan to eligible personnel, and short-time period and long time incapacity blessings. CVS Health additionally gives severa well being applications, schooling assistance, loose improvement courses, a CVS save cut price, and cut price applications with collaborating partners. As for time without work, Company personnel experience Paid Time Off (“PTO”) or excursion pay, in addition to paid vacations for the duration of the calendar year. Number of paid vacations, ill time and different time without work are supplied steady with applicable nation regulation and Company policies. (Data Entry) Aetna Remote Jobs

About Aetna

Aetna is an American-controlled healthcare agency that offers quite a few healthcare coverage merchandise and associated offerings. Aetna became a subsidiary of CVS Health Corporation and is certainly considered one of the most important pharmacy and healthcare businesses in the United States. Aetna became based in 1853 and has a protracted record inside the coverage industry. Over the years, it has developed and multiplied its offerings to end up an outstanding participant in the healthcare sector. Products and Services: Aetna gives an extensive variety of medical health insurance merchandise, which includes medical, dental, pharmacy, disability, and different associated offerings. The agency caters to individuals, employers, and authority entities. (Data Entry) Aetna Remote Jobs

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.

(Data Entry) Aetna Remote Jobs – CAB