( Provider Claims Customer Service ) Aetna Job, Aetna Careers Nj @Jobspromotor

Hiring Organization: Aetna

Post Name: Provider Claims Customer Service

Qualification: Graduate

Industry: Private

Employment Type: Full Time

Work Hours: 8 Hours

Salary: $20 – $30/Hour

Location: New Jersey, USA

Full Job Description

Uses clinical experience and abilities in a cooperative cycle to survey, plan, carry out, direction, screen and assess choices to work with

suitable medical care administrations/benefits for individuals Assembles clinical data and applies the proper clinical measures/rule, strategy, method and clinical judgment to deliver inclusion

assurance/proposal along the continuum of care Speaks with suppliers and different gatherings to work with care/treatment Distinguishes individuals for reference chances to coordinate with different items, administrations as well as projects Recognizes chances to advance quality viability of Medical care Administrations and advantage use Counsels and loans skill to other inner and outer constituents in the coordination and organization of the use/benefit the executives capability.

Run of the mill office working climate with efficiency and quality assumptions.

Work requires the capacity to perform close examination of manually written and PC produced records as well as a PC screen.

Stationary work including times of sitting, talking, tuning in. Work requires sitting for broadened periods, chatting on the phone and composing on the PC.

Capacity to perform multiple tasks, focus on and really adjust to a quick moving changing climate

Position requires capability with PC abilities which incorporates exploring various frameworks and keyboarding

Viable relational abilities, both verbal and composed

( Provider Claims Customer Service ) Aetna Job, Aetna Careers Nj @Jobspromotor

Pay Reach

The normal compensation range for this job is:

Least: 28.25

Most extreme: 60.50

This pay range addresses the base hourly rate or base yearly full-time compensation for all situations in the gig grade inside which this position falls. The genuine base compensation proposition will rely upon various variables including experience, schooling, geology and other applicable elements. This position is qualified for a CVS Wellbeing reward, commission or momentary motivator program notwithstanding the base compensation range recorded previously.

Notwithstanding your remuneration, partake in the prizes of an association that places our heart into really focusing on our partners and our networks. The Organization offers a full scope of clinical, dental, and vision benefits. Qualified representatives might sign up for the Organization's 401(k) retirement investment funds plan, and a Worker Stock Buy Plan is additionally accessible for qualified workers. The Organization gives a completely paid term life coverage plan to qualified workers, and present moment and long haul inability benefits. CVS Wellbeing likewise offers various prosperity programs, instruction help, free improvement courses, a CVS store endlessly rebate programs with taking an interest accomplices. With respect to downtime, Organization representatives appreciate Took care of Time (PTO) or excursion pay, as well as paid occasions all through the schedule year. Number of paid occasions, debilitated time and other time off are given predictable significant state regulation and Company arrangements.

Required Capabilities

• 3+ long periods of involvement as an Enrolled Medical caretaker
• Should have dynamic current and unlimited RN licensure in condition of home
• - Should have 1+ long periods of post-intense involvement in either ( LTC ), Long haul Care ( LTAC), Long haul Intense Consideration, Intense Recovery ( AR ), Talented Nursing ( SNF). The job of PPS facilitator, MDS facilitator , Overseer of nursing in any of the settings LTAC, AR or SNF is solid possibility for the job
• Should be accessible to yearly work M-F 8am-5pm EST and ready to work 1 significant and 1 minor occasion

Schooling

• Partner degree required; BSN liked

Top 20 Common Interview Questions

1. Tell me about yourself.
2. What are your strengths and weaknesses?
3. Why do you want to work for our company?
4. What experience do you have that makes you a good fit for this position?
5. What are your long-term career goals?
6. How do you handle stress and pressure?
7. Can you give me an example of a time when you had to resolve a conflict with a colleague?
8. What do you know about our industry/competitors?
9. How do you stay organized and manage your workload?
10. Can you describe a time when you had to think creatively to solve a problem?
11. How do you handle criticism or feedback?
12. What motivates you to perform at your best?
13. How do you prioritize tasks and manage your time effectively?
14. What do you think are the most important qualities for success in this role?
15. Can you describe your leadership style?
16. Can you walk me through your resume and explain any gaps or inconsistencies?
17. What do you think sets you apart from other candidates?
18. How do you handle ambiguity or uncertainty in a project?
19. Can you give an example of a time when you had to adapt to a new situation quickly?
20. What questions do you have for us?

It's important to prepare for these types of questions and think about how you can best showcase your skills and experience to demonstrate why you're the right fit for the job.

( Provider Claims Customer Service ) Aetna Job, Aetna Careers Nj @Jobspromotor