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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Claim Finance Accounting Specialist

Primary Location: Phoenix, Arizona
Additional Locations: AZ-Phoenix
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Description:
POSITION SUMMARY
The position assists in performing various department functions including processing provider refund checks received for claims corrections, researching and reissuing payments not received by providers, and assisting in the implementation of new health plan payment activities.

Fundamental Components:
Resolves problems in a timely and effective manner. Uses designated systems to obtain information. Understands the impact of actions on system primarily used/maintained. Understands relationships of designated systems. Analyzes and verifies system results to ensure accuracy, accountability and financial data integrity. Possesses working knowledge of functions of other units in department Responds to and resolves customer inquiries and complaints (internal as well as external) both verbal and written correspondence within established unit objectives. Analyzes and resolves system error conditions within established unit time frames. Participates as a member of a project team. Analyzes and recommends solutions to non-standard requests and requirements from plan sponsors and areas within and outside the area. Explains compliance requirements as they pertain to sick pay reporting, provider reporting, commissions, licensing, life, survivor income, escheat, etc. to plan sponsors, members, providers, brokers and other Aetna areas. Analyzes producers' insurance licensing data for accuracy/completeness to process and/or file applications with state insurance departments. Processes customer new business and other transactions and records in appropriate systems. Uses system produced data to prepare management level reports. Uses system output to monitor and/or reconcile specific line of business accounts and customer bank accounts. Monitors, reviews, researches, reconciles and balances designated Aetna system activity. Reviews and analyzes system reports and other information to develop financial information for use in reporting.

Background Experience:
BACKGROUND/EXPERIENCE desired:
1-3 years accounts payable/accounts receivable/payment processing experience preferred. Knowledge of medical claim payment processing or account reconciliation is helpful. Experience working as part of a team to meet established deadlines and resolve issues is required. Attention to details and accuracy are essential skills.


Potential Telework Position:
No

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

Click To Review Our Benefits (PDF)

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