Join our team at Aetna Remote and contribute to our mission of providing exceptional service to our customers from the comfort of your own home. We’re seeking diligent and detail-oriented individuals for Data Entry positions.
This role offers the flexibility of remote work combined with the stability and support of a reputable company.
You might be gaining knowledge of RxClaim, taking part in enterprise requirement determinations, checking out and documentation for Clinical Adjudication tasks and collaborating to discover the root reason for override issues. You will want to be progressive and collaborative and might be concerned with numerous tasks or projects associated with PAs.
Additional duties include:
Working and final deliverables attributable to branch projects and PA sports in a well-timed manner
Supporting CAPAS carrier catalog offerings
Incorporating progressive enhancements into all elements of the CAPAS operations
Supporting implementation of patron PA documents at some point in the Clinical overview part of the member statistics transition process.
Your fulfillment might be decided with the aid of using your capacity to encourage alternate and pressure alignment in matrixed surroundings with the aid of demonstrating Aetna Health center values inclusive of collaboration and accountability. The capacity to assume strategically, follow validated reasoning and good judgment for CAPAS-associated tasks and projects and articulate dangers or worries is critical for fulfillment in this role.
Required Qualifications
1-2 years of analytical capabilities running with massive statistics units for projects or trending/possibility identification
Preferred Qualifications
RxClaim experience (in particular adjudication associated with PA overrides)
Advanced talent in Microsoft Office Suite
Ability to run queries in RxClaim or Data Warehouse
Must be self-influenced with a strong, effective attitude.
Superb verbal exchange and organizational capabilities – need to be capable of articulate complex/technical ideas to non-technical/lay users
Experience the usage of MS Access database
Benefits:
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Medical and prescription (in case you work 30+ hours in step with week), unfastened preventive care and annual Aetna Health contributions in HSA-eligible plan options
Dental Insurance
Vision Insurance
Supplemental fitness plans: accident, essential illness, sanatorium indemnity
Fixed indemnity plan (in case you work 12-29 hours in step with week): coins blessings for physician visits, prescriptions and more
Aetna Pharmacy prescription discounts
Thrive wellness platform to lessen stress, sharpen your consciousness and enhance your standard wellness
Paid time off
Support for you and your cherished ones
Tuition help and reimbursement
Career and cross-schooling opportunities
Colleague Education Program and Partnerships
401(k) financial savings plan with $-for-$ organization healthy as much as 5%, after twelve months of the carrier with a minimum of 1,000 hours
Employee Stock Purchase Plan with 10% discount

