Aetna's Medicaid Care The executives Commitment Effort Center is another drive centered around focusing on Medicaid part connection, augmenting inbound and outbound touchpoints to tackle individuals' necessities and make social change. How we do this is through a devoted and caring group of medical services experts who interface with enthusiasm, mindful and social talking procedures. This group has a drive to surpass the conveyance of Medicaid Medical services administrations. Zero in is on the Center point's proficiency and efficiency endeavors by which the Consideration The board Partners cooperate and draw in telephonically with individuals. Through the fruitful backings organized by the Center point group, this thorough consideration coordination is a cooperative exhibit of inventive medical care route and inspirational wellbeing plan client service portrayal. This is a thrilling opportunity to join Aetna, a CVS Wellbeing Organization, in our excursion to have an impact on how medical services is conveyed today. We are medical services trailblazers.
The Commitment Effort Center point Care The board Partner upholds exhaustive coordination of medical care administrations through telephonic effort to and enlistment of our qualified individuals. Our Commitment Care The executives Partners show a profoundly vigorous mix of salesman, medical services pilot and wellbeing plan client care delegate. The Partner is liable for direct part effort and commitment, working with case task, and interfacing recognized individuals to mind chiefs promptly through a warm exchange. By effectively selecting individuals into care the executives, further backings the execution of care intends to advance compelling use of medical care benefits, advancing and supporting quality adequacy.
Offers help administrations to colleagues by noting calls, taking messages, exploring data and helping with tackling issues. Sticks to Consistence with approaches and strategy/administrative principles. Keeps up with precise and complete documentation of required data that meets risk the executives, administrative, and certification necessities. Safeguards the privacy of part data and sticks to organization arrangements with respect to classification.
This job is a Crossover job which implies a half breed Partner works a portion of their booked working days every week in a relegated organization office area, and a few working days from an assigned virtual work area, normally situated in the Partner's home.
Required Capabilities
- 2 years' involvement with medical services field (for example experienced in clinical office, clinic setting, clinical charging/coding) liked.
- Experience with PCs including information on Microsoft Word, Standpoint, and Succeed - information section and documentation inside part records liked.
- Experience with fundamental clinical phrasing and ideas utilized in care the executives liked.
- Solid hierarchical abilities, including compelling verbal and composed relational abilities.
- Bilingual (Spanish) liked.
Favored Capabilities
- Compelling correspondence, telephonic and association abilities with capacity to be deft, dealing with numerous needs all at once, and adjusting to change with energy.
- Shows capacity to meet day to day measurements with speed, exactness and an inspirational perspective.
- Solid client support abilities to organize administration conveyance including consideration regarding clients, aversion to issues, proactive distinguishing proof and goal of issues with advance positive results for individuals, complying to mind the board processes (to incorporate, however not restricted to, protection and privacy, quality administration processes in consistence with administrative, license rules, organization arrangements and strategies).
- Finishes documentation of every part bring in the electronic record, completely finishing expected activities with an elevated degree of detail to guarantee consistence prerequisites are met with productivity.
- Works freely and skillfully, fulfilling expectations and time constraints while showing an active, energetic and caring presence telephonically.
- Capacity to really take part in a multi-disciplinary group including inward and outside members.
Instruction
- Secondary School certificate or comparable GED
Job Benefits:
- Health Benefits: Because Aetna Is A Health Insurance Company, It Generally Offers Comprehensive Health Benefits, Including Health, Dental, And Vision Insurance, To Eligible Employees And Dependents.
- Wellness Programs: Aetna Promotes Employee Wellness Through A Variety Of Programs, Which May Include Exercise Groups, Health Challenges, And Resources To Maintain A Healthy Lifestyle.
- 401(K) Retirement Plan: Aetna May Offer A 401(K) Plan That Allows Employees To Save For Retirement Through Tax-Deductible Contributions. Some Companies Also Offer Matching Offers.
- Time Off (PTO): This Can Include Vacation Days, Sick Days, And Statutory Holidays, Allowing Employees To Take Time Off Work While Still Being Paid.
- Flexible Spending Accounts (FSA): These Accounts Allow Employees To Withdraw Pre-Tax Dollars To Cover Medical, Dental And Dependent Care Expenses.
- Life Insurance And Disability Insurance: Aetna Can Provide Life Insurance And Disability Insurance To Help Protect Employees And Their Families Financially.
- Employee Assistance Programs (Eaps): Eaps Provide Support For Personal And Employment Issues, Including Counseling, Legal Assistance, And Financial Planning.
- Professional Development: Aetna Can Provide Professional Development Opportunities Through Training, Courses, And Educational Resources.
- Parental Leave: Maternity And Paternity Leave To Support Employees When They Become Parents.
- Tuition Assistance: Some Companies, Including Aetna, Offer Tuition Reimbursement Or Assistance Programs To Help Employees Continue Their Education.
- Employee Discounts: Discounts On Aetna Health Insurance Plans And Other Potential Products And Services.
- Remote And Flexible Work: Depending On The Service, Aetna May Offer Flexible Work Arrangements Or Remote Work Options.
Care Management Associate
Bachelor Degree

2
Bachelor Degree