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Provider Data Svcs Anly

Company: Aetna
Location: Arcadia
Posted on: March 17, 2020

Job Description:

Req ID: 69430BRJob DescriptionAs a Dental Network Representative with Aetna, you will perform intake triage and respond to Dental Network inquiries including but not limited to: Provider requests (e.g., policy and procedures, credentialing status, claims status, provider compensation, directories, etc.) Internal customer requests Member requests Additionally, you will provide ongoing support to department members in completing research and analysis to resolve concerns/issues raised by providers and other internal/external customersFundamental Components included but are not limited to:Perform data entry and systems maintenance as needed Support production and distribution of provider communication and educational materials Obtains delegated credentialing materials and coordinates processes Align data across all systems verify, analyze and maintain all provider data in support of claim adjudication and production of directory Review provider maintenance request for complete and accurate information Provide feedback to claim processors, customer service representatives and other staff (e.g., appropriateness of request, accurate completion of provider add/change forms) Internal/external production control; tracking and reporting for all maintenance requests Develop and/or produce system queries/reports Provide education and training to providers and/or internal customers on systems related policies and proceduresQualifications Requirements and Preferences:Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Strong analytical and written/oral communication skills. Associates or BS degree or 0 to 2 years experience directly related to the duties and responsibilities specified or an equivalent combination of education and work experience.Benefit EligibilityBenefit eligibility may vary by position.Job Function: HealthcareAetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

Keywords: Aetna, Arcadia , Provider Data Svcs Anly, Other , Arcadia, California

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