Blue Bell, Pennsylvania

Job Description
Provides a multi-functional approach to plan sponsor administration (i.e., eligibility, billing, plan set-up, etc.). Processes accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production. Provides plan sponsors with accurate bills and ensures fees and/or premiums are allocated accordingly across benefits and structure. Incumbents perform a minimum of 2 plan sponsor service functions on a daily basis, which may include enrollment, collections, billing and accounts receivable, including most, or all, of the fundamental components below.Performs a minimum of 2-3 plan sponsor functions daily that may include a combination of enrollment, eligibility, product/list billing, collections, accounts receivable/billing, cash control, drafting, plan coordination and installation duties.Utilizes and interprets available resources, standard reference materials, and plan sponsor benefits to ensure customer’s benefit administration needs are satisfied.Under general direction, assists with the investigation, analysis and development of solutions to client-specific (internal and external) problems.Maintains customer files, including telephone call documentation/logs and other related correspondence in support of department audits.Completes the accurate and timely set-up of benefits, account structure, rates, and enrollment and confirms all changes to be in compliance with state and Federal legislative mandates.Reviews and corrects transaction errors generated through enrollment and eligibility interfaces.Monitors and manages internal installation process and maintains case tracking tools in support of client satisfaction.Prepares employer contracts and/or assembles documents and state specific forms for employer distribution; ensures group agreements are signed and returned for quality auditing purposes.Inputs work into internal tracking system and measurement systems within established timeframes to support management and business initiatives; prepares information for imaging or microfilm processing.Partners with other internal business areas and department counterparts to deliver services and products that are properly aligned with customers’ benefit requirements.May assign control numbers for new and/or existing business.May participate on team, regional, or company-wide projects.

Required Qualifications
Medicare Experience preferred Customer Service Experience Experience using Microsoft office productsCollege degree preferred.

Preferred Qualifications
Please review required qualifications above

High School diploma, G.E.D. or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

Blue Bell, Pennsylvania

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