Aetna Hiring – Customer Service Representative

Website Aetna

Job Description:

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

Job Responsibilities:

  • Overview: Answer all incoming phone calls from patients, customers, and responsible parties as part of a customer service queue. Assist and route calls appropriately. Work with residents, patients, facilities, and family members regarding charges, complaints, and collection activities. Make outbound calls as needed. Review patient billing statements for correctness and accuracy as a result of customer inquiry via email, phone, fax, or written correspondence. Maintain accurate and complete records concerning patient billing activity / communication on all accounts. Work and partner with other internal and external departments to resolve issues. Participate in projects and/ or meetings as designated by management. Follow all applicable government regulations including HIPAA. Demonstrates/models the company’s core values and customer service behaviors in interactions with all customers (internal and external). Complies with the pharmacy and departmental policies regarding safety, attendance, and dress code. Overtime, holidays and weekends may be required and/or expected. Other duties as assigned.

Job Requirements:

  • Excellent verbal and written communication as well as listening skills.
  • Ability to work in a fast paced, rapidly changing environment.
  • Intermediate computer and typing skills.
  • Basic knowledge of insurance procedures.
  • Effective multitasking.

Qualification & Experience:

  • 3+ years of experience working in an office/ business setting.
  • 2+ years call center or phone based customer service experience.
  • Prescription third party claims management experience
  • 2+ years pharmacy billing experience.
  • 3+ years call center or phone based customer service experience.
  • Healthcare industry experience

Job Details:

Company: Aetna

Vacancy Type:  Full Time

Job Location: Pittsburgh, PA, US

Application Deadline: N/A

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