Supports comprehensive coordination of medical services including intake, screening and referrals to Aetna Medical Service Programs. Promotes/supports quality effectiveness of Healthcare Services within a structured high volume Call Center environment.Fundamental Components
Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues.BACKGROUND/EXPERIENCE desired:
Effective communication, telephonic and organization skills. Experience in a high volume call center. Strong Customer Service background Medical Terminology a plus. Strong computer skills. Ability to use multiple systems simultaneously to search out information. 2-4 years experience as a medical assistant, office assistant or other clinical experienceEDUCATION
The minimum level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.FUNCTIONAL EXPERIENCES
Functional - Customer Service/Customer service - production environment/1+ YearsREQUIRED SKILLS
General Business/Communicating for Impact/ADVANCED
Service/Demonstrating Service Discipline/FOUNDATION
Service/Handling Service Challenges/FOUNDATIONDESIRED SKILLS
General Business/Maximizing Work Practices/ADVANCED
Service/Working Across Boundaries/FOUNDATION
Technology/Leveraging Technology/FOUNDATIONADDITIONAL JOB INFORMATION
Strong customer service skills are required with clear, articulate speech. Prior customer service experience in a fast paced call center environment is preferred. Strong computer skills with experience in a Windows environment. Effective verbal and written communication skills. Knowledge of medical terminology and coding a plus. The candidate should possess the ability to ask appropriate questions and handle difficult situations as necessary. The ideal candidate must be able to adapt to change and be comfortable in a fast paced, structured environment. Ability to be a team player and work cooperatively. Excellent attendance and punctuality is essential.
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.
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