Network Relations SpecialistPrimary Location: Seattle, Washington
Additional Locations: OR-Portland, WA-Seattle Apply
Internally supports and contributes to positive provider relationships by handling routine provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Supports the maintenance of contract or demographic data.
Triages routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage. Escalates issues as appropriate.
Supports or assists with operational activities that may include, but are not limited to, database management, contract coordination, credentialing support activities as needed, mailings.
Educates providers on portals, protocols, policies, procedures, and services to enhance the overall provider experience.
May assist with or perform standard provider recruitment or contracting or re-contracting functions and discussions.
1-3 years' related customer service experience preferably working with providers.
Familiarity with providers in the Pacific Northwest markets (WA, OR, ID) preferred.
Working knowledge of provider billing practices and terminology, health plan products, and industry terminology.
Strong verbal and written communication and interpersonal skills.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Functional - Network Management/Credentialing/1-3 Years
Functional - Network Management/Provider relations/1-3 Years
Functional - Network Management/Provider data services/1-3 Years
Technical - Aetna Applications/Enterprise Provider Database System/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Part-Time Telework (ex: 2 days office-based, 3 days telework); training period in the office may be required
ADDITIONAL JOB INFORMATION
Join a team of dedicated professionals supporting and delivering best in class service to Aetna providers in the states of Washington, Oregon and Idaho.
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 candidates'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.
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