[Hiring] Inbound Queue Associate @4062 Aetna Resources, LLC

Role Description

This role involves providing support in a call center environment, focusing on medical precertification requirements and case status.

• Receive inbound calls from members, medical providers, brokers, and other internal departments.
• Protect the confidentiality of member’s personal identifiable information (PII) and personal health information (PHI).
• Adhere to company policies, state laws, and the federal Health Insurance Portability and Accountability Act (HIPAA).
• Follow “one call resolution” protocol to minimize repeat calls for the same concern.
• Utilize multiple Aetna systems simultaneously to access information and build medical precertification cases.
• Maintain accurate and complete documentation of required information.
• Redirect calls that do not pertain to medical precertification.
• Participate in weekly training hour meetings, mentoring, and touchpoints with supervisors.
• Follow strict schedule adherence guidelines.

Qualifications

• 1+ year of call center experience required.
• Eastern and Central Time Zone applicants only.

Requirements

• High School Diploma.

Benefits

• Affordable medical plan options.
• 401(k) plan including matching company contributions.
• Employee stock purchase plan.
• No-cost programs including wellness screenings, tobacco cessation, and weight management programs.
• Confidential counseling and financial coaching.
• Paid time off, flexible work schedules, family leave, and dependent care resources.
• Tuition assistance and retiree medical access.