Aetna

LPN - Notice Of Action Letter Auditor

Aetna

Ohio, USA
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

Are you a detail-oriented and organized individual with a passion for healthcare? Aetna is seeking a talented LPN to join our team as a Notice of Action Letter Auditor. As an Auditor, you will play a crucial role in ensuring that our members receive accurate and timely notices regarding changes in their healthcare coverage. Your expertise and attention to detail will help us maintain compliance with regulatory standards and provide our members with the best possible experience. If you are a dedicated healthcare professional with a strong background in auditing, we encourage you to apply for this exciting opportunity at Aetna.

  1. Review and audit Notice of Action letters to ensure accuracy and compliance with regulatory standards.
  2. Identify any discrepancies or errors in the letters and communicate with relevant departments to resolve them.
  3. Maintain thorough and organized documentation of all audits and findings.
  4. Collaborate with cross-functional teams to improve the Notice of Action letter process and ensure a positive member experience.
  5. Stay updated on changes in healthcare regulations and incorporate them into the auditing process.
  6. Conduct frequent quality checks to ensure consistency and accuracy in the Notice of Action letters.
  7. Communicate any potential issues or concerns to management, and provide recommendations for improvement.
  8. Adhere to strict timelines to ensure timely delivery of Notice of Action letters to members.
  9. Assist with training and mentoring new team members on auditing processes and procedures.
  10. Continuously evaluate and improve auditing processes to increase efficiency and accuracy.
Where is this job?
This job is located at Ohio, USA
Job Qualifications
  • Valid Lpn License: The Candidate Must Possess A Valid And Current Lpn License In The State Where The Job Is Located.

  • Strong Knowledge Of Healthcare Regulations: The Candidate Must Have A Thorough Understanding Of State And Federal Regulations Related To Healthcare, Including Medicare And Medicaid.

  • Experience In Healthcare Auditing: The Ideal Candidate Will Have Prior Experience In Healthcare Auditing, Preferably In A Similar Role Or With A Healthcare Insurance Company.

  • Attention To Detail: The Candidate Must Possess Excellent Attention To Detail To Accurately Review And Analyze Notice Of Action Letters.

  • Strong Communication Skills: The Candidate Must Have Strong Written And Verbal Communication Skills To Effectively Communicate With Healthcare Providers And Internal Stakeholders.

Required Skills
  • Communication Skills

  • Time Management

  • Multitasking

  • Attention to detail

  • Organizational Skills

  • Analytical Thinking

  • Critical Thinking

  • Problem-Solving

  • Computer Literacy

  • Medical Knowledge

  • Documentation Proficiency

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Networking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a LPN - Notice Of Action Letter Auditor in Ohio, USA is $44,000 - $55,000 per year. However, this can vary depending on factors such as the specific employer, location, and level of experience. It is best to research the specific job listing and company for a more accurate salary range.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeMay 22nd, 2025
This job posting is from a verified source. 

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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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