Billing Premium Consultant

Job Description
Provide Plan Sponsors with accurate bills and ensure dues are finalized and money is collected and allocated across benefits and structure.
• Validates and updates Self Insured Revenue forecasting information and trends.
• Coordinates validation of eligibility.
• Ensures that remittances are posted accurately across various benefits and account structure and reconciles customer remittances.
• Consults with internal/external customers to identify accurate account structure, billing format method and payment arrangements to meets customer's expectations. May negotiate and communicate change for non-standard products and/or services; evaluates customer billing requirements, customer payment arrangements and history to deliver a timely and technically accurate product.
• Researches, resolves and responds to product inquiries, i.e., revenue adjustment issues, from internal and external customers, e.g., Plan Sponsor, Member Services, third party vendor.
• Ensures that legislation and compliance has been properly adhered to with regard to Plan Sponsor and/or member activity.
• Utilizes and interprets on line resources to understand customer's account structure and benefits.
• May assist with the development of such resources.
• Monitors and manages internal installation process, i.e., reports, to identify issues and ensures timely and accurate resolution to meet business goals and constituents expectations.
• Financial experience and/or Billing background a plus.

Required Qualifications
Attention to detail and accuracy.
• Math and accounting skills.
• Problem solving skills.
• Well organized.
• Ability to prioritize tasks/work effectively.
• Strong verbal and written communication skills

Servicing Customers Profitably
Communicating for Impact
Managing Sales Relationships

Preferred Qualifications
Previous billing experience preferred with MS Excel working knowledge.

Ability to analyze financial information and reports.

Functional - Customer Service - Customer Service - Plan Sponsor - Billing premium & reconciliation/1-3 Years
Functional - Customer Service - Customer Service - Plan Sponsor - Account Receivable/1-3 Years

Technical - Aetna Applications - Enterprise Billing System/1-3 Years/End User
Technical - Aetna Applications - Oracle Accounts Receivable/1-3 Years/End User
Technical - Aetna Applications - Aetna Administrative System/1-3 Years/End User
Technical - Desktop Tools - Microsoft Outlook/1-3 Years/End User

Creating a Differentiated Service Experience
Handling Service Challenges
Providing Solutions to Constituent Needs

• Associate's degree 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.