Billing Premium Consultant

Description:
Provide Plan Sponsors with accurate bills and ensure dues are finalized and money is collected and allocated across benefits and structure. This is an outbound call position. Employee will be making outbound calls to members to provide CMS guidance and balances owed to the plan.

70304

Fundamental Components:
This is an outbound call position. Employee will be making outbound calls to members to provide CMS guidance for SSA deductions and balances owed to the plan. Monitors, researches, and resolves collection of outstanding premium, overdue accounts, or revenue adjustment issues and reports corrections or coordinates collection and cancellation of overdue customers in accordance with pre-established market segment process. Ensures all manual adjustments, refunds, and write-offs are appropriately submitted, adhering to policy guidelines. Validates and updates Self Insured Revenue forecasting information and trends. Coordinates validation of eligibility. Ensures that remittances are posted accurately across various benefits and account structure and reconciles customer remittances. Consults with internal/external customers to identify accurate account structure, billing format method and payment arrangements to meets customer’s expectations. May negotiate and communicate change for non-standard products and/or services; evaluates customer billing requirements, customer payment arrangements and history to deliver a timely and technically accurate product. Researches, resolves and responds to product inquiries, i.e., revenue adjustment issues, from internal and external customers, e.g., Plan Sponsor, Member Services, third party vendor. Ensures that legislation and compliance has been properly adhered to with regard to Plan Sponsor and/or member activity. Utilizes and interprets on line resources to understand customer’s account structure and benefits. May assist with the development of such resources. Monitors and manages internal installation process, i.e., reports, to identify issues and ensures timely and accurate resolution to meet business goals and constituents expectations.
Background Experience:
Financial experience a plus.
Customer service experience.
Medicare experience.

Microsoft Outlook - level of experience: end user
Microsoft Excel - level of experience: end user
Microsoft Access - level data entry

HMOe and NextGen platforms
Additional Job Information:
Ability to analyze financial information and reports.Ability to prioritize tasks/work effectively.Strong verbal and written communication skills.Well organized.Math and accounting skills.Problem solving skills.Attention to detail and accuracy.

Potential Telework Position:
Yes

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position.
Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.