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Provider Relations Customer Service Consultant

Primary Location: Franklin, TN
Additional Locations: TN-Franklin
Handles customer service inquiries and via telephone, internet or written correspondence. Handles tax information related to medical providers 1099.
Handles incoming and outgoing phone calls to medical provider and attorneys. * Works with Aetna corporate during tax season. * Provides documentation of medical claims information for attorneys/law offices. * Reporting of suspicion of fraud to SIU * Handling provider W-9 name /address corrections * Re-addressing of undeliverable returned checks. Medicare knowledge helpful.

Fundamental Components:
Handles telephone and written correspondence from varied sources (providers, plan sponsors, attorneys and other Aetna Personnel). Makes outbound calls if necessary for client follow-up and W-9 requests from providers.

Background Experience:
Customer Service experience in a transaction based environment. Experience in a production environment. Demonstrated ability to handle multiple assignments competently, accurately and efficiently.

Additional Job Information:
Knowledge of Medicare benefit plans, policies and procedures. Oral and written communication skills. Ability to maintain accuracy and production standards. Technical skills. Analytical skills.

Required Skills:
General Business - Communicating for Impact

Potential Telework Position:

Percent of Travel Required:
0 - 10%

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

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

Click To Review Our Benefits (PDF)


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