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Aetna Insurance Jobs in Reston, VA (NOW HIRING)

ProSidian Consulting

Field Biologist

Washington, DC · On-site

... Insurance Benefits: Medical: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. Dental: ProSidian dental carriers - Delta, Aetna ...

ProSidian Consulting

Business Analyst

Washington, DC · On-site

... Insurance Benefits: Medical: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. Dental: ProSidian dental carriers - Delta, Aetna ...

ProSidian Consulting

Budget Analyst

Arlington, VA · On-site

... Insurance Benefits: Medical: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. Dental: ProSidian dental carriers - Delta, Aetna ...

ProSidian Consulting

General Scientist

Washington, DC · On-site

... Insurance Benefits: Medical: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. Dental: ProSidian dental carriers - Delta, Aetna ...

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All JobsAetna Insurance JobsAetna Insurance Jobs in Reston, VA

Aetna Insurance information

What is an Aetna Insurance job?

An Aetna Insurance job typically involves working for Aetna, a CVS Health company, in roles related to health insurance, customer service, claims processing, or healthcare management. Employees may assist customers with policy information, process claims, develop insurance plans, or provide healthcare support. Aetna offers various positions, including customer service representatives, underwriters, nurses, and IT professionals. The company focuses on improving healthcare access and providing quality insurance services. Positions may be available remotely or in-office, depending on the role.

What does a typical workday look like for an employee at Aetna Insurance?

A typical workday at Aetna Insurance often involves assisting customers with policy questions, processing claims, and collaborating with team members to resolve complex cases. Many positions require balancing administrative tasks with direct communication via phone or email, ensuring both accuracy and timely service. Employees frequently work in a structured environment with performance goals and may participate in regular training to stay updated on products and regulations. Regular collaboration across departments ensures a supportive team environment and opportunities for professional skill development.

What are the key skills and qualifications needed to thrive in the Aetna Insurance position, and why are they important?

To thrive in a role at Aetna Insurance, candidates typically need a solid understanding of insurance products, customer service proficiency, and a background in healthcare or finance. Familiarity with insurance claims processing software, customer relationship management (CRM) systems, and relevant certifications such as state insurance licenses or HIPAA training is often required. Strong communication, problem-solving abilities, and attention to detail help professionals excel in this fast-paced environment. These skills and qualifications ensure accurate handling of customer inquiries, regulatory compliance, and effective team collaboration within the insurance industry.

What are popular job titles related to Aetna Insurance jobs in Reston, VA?

For Aetna Insurance jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Aetna Insurance jobs in Reston, VA look for?

The top searched job categories for Aetna Insurance jobs in Reston, VA are:

What cities near Reston, VA are hiring for Aetna Insurance jobs?

Cities near Reston, VA with the most Aetna Insurance job openings:

Aetna Insurance jobs near you
Infographic showing various Aetna Insurance job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution.

PDN Home Health Authorization Specialist

Falls Church, VA • On-site

COMFORT HOME HEALTH LLC
Health Care and Social Assistance • 51 - 200 employees
Learn more about COMFORT HOME HEALTH LLCexternal

$25 - $30/hr

Full-time

Medical, Retirement

Re-posted 7 days ago

Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Training & development

Job Summary
VitalCare Home Health LLC is seeking an experienced Authorization Specialist to join our growing Home Health team. The Authorization Specialist is responsible for obtaining, tracking, and managing insurance authorizations for skilled nursing and private duty nursing services. This position works closely with physicians, case managers, Medicaid Managed Care Organizations (MCOs), clinical staff, and families to ensure timely authorization approvals and uninterrupted patient care.
Responsibilities
* Submit initial and continued authorization requests.
* Track authorization expiration dates and renewals.
* Verify Medicaid and insurance eligibility.
* Communicate with MCOs regarding authorization status.
* Coordinate with physicians to obtain required documentation.
* Review nursing assessments and physician orders for completeness.
* Monitor pending authorizations and follow up to prevent delays.
* Resolve authorization denials and submit additional documentation when required.
* Maintain accurate documentation in Alora Plus EMR.
* Collaborate with Intake, Clinical Managers, and Scheduling staff.
* Maintain HIPAA compliance and confidentiality.
Preferred Experience
* Home Health or Private Duty Nursing (PDN)
* Virginia Medicaid
* CCC Plus
* DMAS documentation
* Prior Authorization
* Insurance Verification
* Alora Plus EMR (preferred)
Required Qualifications
* Minimum 2 years of Home Health authorization experience.
* Experience with Virginia Medicaid and Managed Care Organizations.
* Strong knowledge of authorization processes.
* Excellent organizational and communication skills.
* Ability to manage multiple authorizations simultaneously.
* Strong computer skills and attention to detail.
Preferred Payers Experience
* Anthem HealthKeepers Plus
* Sentara Health Plans
* Molina Healthcare
* Aetna Better Health of Virginia
* UnitedHealthcare Community Plan
Benefits
* Competitive salary
* 401(k)
* Professional Development Opportunities
Skills
* Prior Authorization
* Home Health
* Medicaid
* Insurance Verification
* Medical Documentation
* EMR
* Alora Plus
* HIPAA
* Microsoft Office
* Customer Service
* Communication
* Time Management
* Attention to Detail
* Problem Solving
Nice-to-Have
* Bilingual (English/Spanish)
* Experience with pediatric skilled nursing
* Experience with ventilator, trach, and G-tube cases
* Experience working with Medicaid waiver programs

Flexible work from home options available.