Site of Care Support Representative – Work From Home

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Bring your heart to Aetna Health. Every one of us at Aetna Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at Aetna Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Rep I, Site of Care Support is responsible for reviewing and coordinating in-bound Site of Care referrals for infusion patients. They serve to support the Site of Care department by processing incoming referral received from the precertification department, communicating with, and supporting internal and external partners. Responsibilities include reviewing insurance benefits (both medical and pharmacy), claim history review, maintaining complete, timely, and accurate documentation of all referral requests in CRM, precertification vendor changes, communicating with the physician’s office, assisting with escalating issues to the clinical and leadership team(s) as needed.

Strong candidates will be those that demonstrate flexibility and experience working under pressure with an awareness of and ability to meet deadlines.

Required Qualifications

Excellent verbal and written communication and interpersonal skills; Ability to maintain patient confidentiality; Demonstrated sense of urgency with assignments; Ability to maintain confidentiality of information. Proficient computer skills and the ability to navigate in a Windows based environment; Ability to follow directions, as well as multi-task; Ability to quickly learn new computer applications; Seeks ways to collaborate and reach consensus with peers; Actively works to build strong working relationships; Able to customize messages and delivery to broader audiences; Demonstrated problem-solving ability and attention to detail.

  • Proficient in Microsoft Excel and Outlook
  • Self motivated
  • Proven organizational and time management skills
  • High accuracy and attention to detail

Preferred Qualifications

  • Healthcare/Pharmacy Experience
  • Salesforce Experience

Education

  • H.S or Equivalent

Pay Range

The typical pay range for this role is:

$17.00 – $25.65

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This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a Aetna Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. Aetna Health also offers numerous well-being programs, education assistance, free development courses, a Aetna store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.AetnaHealth.com/benefits

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