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Aetna International Senior Billing Consultant

Primary Location: Tampa, FL
Additional Locations: FL-Tampa
Provide Third Party Business Partners with accurate bills and ensure dues are finalized and money is collected and allocated across claims and fees. Work to improve financial results by reducing losses associated with non-payment. Act as a subject matter expert for internal and external constituents.

Fundamental Components:
  • Reviews Third Party Business Partner's claims, fees and payments to identify and resolve discrepancies.
  • Monitors, researches, and resolves collection of outstanding claim or fee adjustment issues and reports corrections to appropriate contact
  • Resolution activity related to delinquent accounts may involve verbal and/or written communications with customers and other key internal business areas.
  • Ensures all manual adjustments, refunds, and write-offs are appropriately submitted, adhering to policy guidelines.
  • Validates and updates any fee forecasting information and trends.
  • Related activities may include negotiating payment schedules and settlements.
  • Identifies and determines appropriate treatment of overdue accounts and coordinates collection and cancellation of overdue customers in accordance with pre-established market segment process.
  • Consults with internal/external customers to identify accurate account structure, billing format method and payment arrangements to meet customer expectations.
  • May serve or provide technical SME support to the team/unit.
  • Provides assistance and/or mentor internal and external constituents.
  • Reviews Non-Admit reports to ensure that Third Party Business Partner's balances are within statutory guidelines.
  • Researches, resolves and responds to billing inquiries or issues.

Background Experience:
  • Financial and/ or claim experience a plus.
  • College degree in Accounting or Finance preferred.

Additional Job Information:
Ability to analyze financial information and reports.Ability to prioritize tasks/work effectively.Strong verbal and written communication skills.Strong organization skills.Math and accounting skills.Problem solving skills.Attention to detail and accuracy.

Required Skills:
Finance - Creating Profitable Customers, Finance - Managing Aetnas Risk, Service - Demonstrating Service Discipline

Desired Skills:
General Business - Maximizing Work Practices, General Business - Turning Data into Information, Service - Improving Constituent-Focused Processes

Technology Experience:
Desktop Tool - TE Microsoft Excel

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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