Aetna Health. Every one of us at Aetna Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at Aetna Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Senior Prior Auth Technician will work a rotating call schedule throughout the day to support Clinical Services Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include assisting supervisors with day to day tactical issues, handling escalated calls, training, coaching and other business needs. The ideal candidate will promote a positive working environment and initiates suggestions to continually improve processes; assists supervisors with standardization of procedures, coaching, training, and dissemination of information to staff; act as a subject matter expert in processes, procedures and products; communicate clearly and accurately when interacting with all levels of employees, plan participants, account managers and partners; manage escalated and more advanced Prior Authorization issues when needed; answer questions and recommend corrective action to address complaints; handle special projects and assignments as designated by the supervisor and/or manager.
CPhT, PTCB, Customer Service, Pharmacy Technician, Mail Order, Specialty, Aetna, Mail, Insurance Verification, Processing Technician
Required Qualifications
Ability to read and understand guidelines and translate into an override
Requires flexibility to work various shifts between 8am and 8pm CST
Experience with Prior Authorizations
Preferred Qualifications
Must have at least 1 year in Aetna Prior Authorization Department
Pharmacy Technician License
Superior PC skills in Windows based applications
Excellent verbal and written communication skills
Superior soft skills
Ability to work in a high-paced work environment
Ability to work in a team environment
Ability to positively deal with changes and promote a positive work environment
Basic math skills
Ability to maintain confidentiality
Must have excellent attendance & schedule adherence
Education
A verifiable High School diploma/GED
Pay Range
The typical pay range for this role is:
$18.50 – $35.29
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a Aetna Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. Aetna Health also offers numerous well-being programs, education assistance, free development courses, a Aetna store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.AetnaHealth.com/benefits
