Aetna Provider Data Service Analyst in Harrisburg, Pennsylvania

Req ID: 45238BR

POSITION SUMMARY

Maintains the Provider Data (demographic and contractual) for all network and non-network providers. Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e., directory listings).

Fundamental Components:

Performs accurate and timely baseline demographic transaction updates in provider system applications in support of claim adjudication and Provider.

Performs intake triage and responds to network inquiries, escalates when necessary.

BACKGROUND/EXPERIENCE desired:

Demonstrated PC skills, including Microsoft Office products and internet navigation skills.

Previous industry experience or claims processing preferred.

Demonstrated effective communication skills, both verbal and written.

Strong Excel a Plus.

EDUCATION

The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

Telework Specifications:

Considered only for current internal teleworkers (in any area)

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

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.

Job Function: Health Care