National Accounts Eligibility Consultant
Hartford, Connecticut Area
• Utilized the Aetna's Administration System (AAS), Member Enrollment Application (MEA) and Gebar to correctly enter eligibility transactions (enrollments, changes, terminations) via batch, online, or file upload facilities and coordinated electronic transfer of eligibility data provided by the customers or third party vendors.Coded AAS and MEA system screens to support downstream processes and the generation of customer products such as member’s medical and dental ID cards. • Act… Show more • Utilized the Aetna's Administration System (AAS), Member Enrollment Application (MEA) and Gebar to correctly enter eligibility transactions (enrollments, changes, terminations) via batch, online, or file upload facilities and coordinated electronic transfer of eligibility data provided by the customers or third party vendors.Coded AAS and MEA system screens to support downstream processes and the generation of customer products such as member’s medical and dental ID cards. • Act as a consultant influencing decisions regarding customer and vendor eligibility submission processes. Participated in new business installation meetings with sales/service representatives and customer/vendor benefit and programming staff. Determined special programming needs as necessary. • Acted as a single point of contact to 14 National Accounts customers supporting a total membership of 240,000. Monitored reports on a daily basis to identify issues and ensure timely and accurate resolution and trained new eligibility consultants.• Demonstrated strong time-management skills, prioritized tasks, and proven team contributor. Show less