ZipRecruiter

Log In

1

Aetna Claims Jobs (NOW HIRING)

CVS Health

Manager, Provider Relations (Metro, NY)

$66K - $159K/yr

Position Summary Aetna is seeking a Manager, Provider Relations to support the Metro New York ... The Manager will collaborate across Network Management, Claims, Operations, Medical Management ...

CVS Health

Manager - Health Services

Homer, AK · On-site

$60K - $145K/yr

Position Summary This role is responsible for operationalizing Aetna Clinical Policy Bulletins (CPBs) and Aetna Payment Policies into precise, testable coding logic that drives claims adjudication ...

previous pagenext page

Showing results 21-40

All JobsFinance and Insurance JobsAetna Claims Jobs

Aetna Claims information

See salary details

$40K

$61.6K

$92K

How much do aetna claims jobs pay per year?

As of Sep 2, 2026, the average yearly pay for aetna claims in the United States is $61,600.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $65,500.00 per year, depending on experience, location, and employer.

What is an Aetna Claims?

An Aetna Claims job involves processing and reviewing insurance claims submitted by healthcare providers or policyholders. Claims representatives evaluate medical services, verify coverage, and ensure compliance with company policies and regulations. They may communicate with customers, healthcare providers, and internal teams to resolve claim issues. The role requires attention to detail, knowledge of insurance policies, and strong problem-solving skills.

What skills and qualifications are needed for an Aetna Claims?

To excel in an Aetna Claims position, candidates need strong analytical skills, attention to detail, and experience in medical billing or insurance claims processing, often supported by a high school diploma or related certification. Familiarity with claims management software, ICD-10/CPT coding, and proprietary Aetna systems is highly valuable. Excellent communication, problem-solving, and customer service abilities help professionals navigate complex claims and interact with providers and insured members. Mastery of these skills ensures timely and accurate claims adjudication while maintaining compliance and customer satisfaction.

What are common challenges faced in an Aetna Claims and how are they addressed?

Aetna Claims professionals often encounter complicated cases involving unclear or incomplete medical documentation, complex policy rules, or discrepancies in submitted information. These challenges are typically addressed through careful review, use of established protocols, and effective communication with providers, members, and other internal teams to gather missing details or clarify policy coverage. Guidance and support are available from supervisors and teammates, fostering a collaborative environment to resolve difficult claims. Staying current with industry updates and ongoing training also helps team members navigate the evolving insurance landscape.

Does Aetna offer remote positions?

Aetna claims and customer service roles often offer remote or telecommuting options, especially for positions that involve claims processing and customer support. Availability of remote work may depend on the specific role, location, and company policies, and some positions may require on-site presence or occasional in-office work.
More about Aetna Claims jobs

What cities are hiring for Aetna Claims jobs?

Cities with the most Aetna Claims job openings:

What are the most commonly searched types of Aetna Claims jobs?

The most popular types of Aetna Claims jobs are:

What states have the most Aetna Claims jobs?

States with the most job openings for Aetna Claims jobs include:

What job categories do people searching Aetna Claims jobs look for?

The top searched job categories for Aetna Claims jobs are:

Aetna Claims jobs near you
Infographic showing various Aetna Claims job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $61,600 per year, or $29.6 per hour.

ABA Billing Specialist

Hope Center for Behavior Change Inc

West Palm Beach, FL • On-site

$22 - $27/hr

Full-time

Medical, Retirement, PTO

Posted 13 days ago

Job description

Location: West Palm Beach, FL (On-site)
Reports To: Billing Manager / Clinic Director
Salary Range: $22.00 - $27.00 per hour (DOE)
Job Summary:
We are seeking a detail-oriented Billing Specialist to join our ABA therapy practice. You will be responsible for the full lifecycle of claims-from initial submission to final payment. You'll play a critical role in ensuring our therapists can focus on clinical care while you handle the complexities of Florida insurance and Medicaid reimbursements.
Key Responsibilities:
  • Claims Submission: Accurately submit electronic and paper claims for ABA services (97151, 97153, 97155, etc.).
  • Authorization Management: Track and maintain active authorizations to prevent "rendered without auth" denials.
  • Denial Management: Research, appeal, and resolve denied or underpaid claims in a timely manner.
  • Payment Posting: Accurately post ERAs and patient payments into the practice management system.
  • Payer Communication: Maintain professional relationships with major Florida payers (BCBS, Aetna, UnitedHealthcare, and Florida Medicaid).

Required Qualifications:
  • ABA Experience: Minimum 1-2 years of experience specifically in ABA Therapy billing (preferred) or general medical billing.
  • Software Savvy: Proficiency in ABA platforms like CentralReach, Portia, or Catalyst.
  • Local Knowledge: Experience navigating Florida Medicaid portals and Florida-specific insurance nuances.
  • Skills: Strong understanding of EOBs, COB (Coordination of Benefits), and the appeals process.

Why Join Hope Center for Behavior Change?
  • Competitive salary and benefits.
  • A supportive, mission-driven environment helping children with autism.
  • 401k, PTO, Flexible Hours, Supplemental Health Benefits.

Apply