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Remote Aetna Customer Service Jobs (NOW HIRING)

Aetna

Case Manager RN

Charlottesville, VA · Remote

... Aetna. We care about each other, our customers and our communities. We are inspired to make a ... services for members through assessment and member-centered care planning, direct provider ...

CVS Health

Customer Service Representative

MI · Remote

$17 - $28.46/hr

Customer satisfaction with the service you provide ... Demonstrating CVS/Aetna's "Heart at Work" behaviors including Putting People First, Joining Forces ...

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Remote Aetna Customer Service information

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How much do remote aetna customer service jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for remote aetna customer service in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What is the difference between Remote Aetna Customer Service vs Remote UnitedHealthcare Customer Service?

AspectRemote Aetna Customer ServiceRemote UnitedHealthcare Customer Service
Required CredentialsHigh school diploma or equivalent; health insurance knowledge preferredHigh school diploma or equivalent; health insurance knowledge preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & Industry UsageAetna, health insurance industryUnitedHealthcare, health insurance industry
Common Search & ComparisonYesYes

Both Remote Aetna Customer Service and Remote UnitedHealthcare Customer Service roles involve assisting members with insurance inquiries in a remote setting. They require similar credentials, work environments, and industry usage. The main differences lie in the specific employer and their customer service protocols, but overall, they are comparable roles within the health insurance customer support field.

What are some common challenges faced by Remote Aetna Customer Service representatives, and how can they be addressed?

Remote Aetna Customer Service representatives often face challenges such as managing high call volumes, resolving complex insurance issues without in-person support, and staying updated on frequently changing healthcare policies. To address these challenges, representatives benefit from strong organizational skills, effective communication, and regular training sessions provided by Aetna. Building a routine, utilizing internal knowledge bases, and actively participating in team chats or virtual meetings help foster a supportive remote environment and ensure accurate, timely assistance for members.

What are Remote Aetna Customer Service representatives?

Remote Aetna Customer Service representatives are professionals who assist Aetna members with their health insurance needs from a remote location, typically working from home. Their responsibilities include answering questions about benefits, claims, coverage, and helping resolve issues related to Aetna health plans. They use phone, email, or chat to communicate with customers, ensuring a high level of service and support. Working remotely allows these representatives to provide flexible and accessible assistance to Aetna members across different regions.

What are the key skills and qualifications needed to thrive as a Remote Aetna Customer Service representative, and why are they important?

To thrive as a Remote Aetna Customer Service representative, you need strong communication skills, problem-solving abilities, and a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, telephony systems, and basic computer proficiency are typically required. Patience, empathy, and active listening are standout soft skills for effectively supporting customers and resolving issues. These skills ensure customer satisfaction, efficient issue resolution, and uphold Aetna's reputation for quality service.
More about Remote Aetna Customer Service jobs
What cities are hiring for Remote Aetna Customer Service jobs? Cities with the most Remote Aetna Customer Service job openings:
What are the most commonly searched types of Aetna Customer Service jobs? The most popular types of Aetna Customer Service jobs are:
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Remote Aetna Customer Service jobs near you
Healthacre Customer Service Representative

Healthacre Customer Service Representative

Managed Staffing

RI • Remote

$16.50 - $22.25/hr

Contractor

Posted 27 days ago

Job description

Job Title: Intake Agent/Intake coordinator


Location: 100% Remote (EST or CST candidates preferred)
Work Hours: Monday – Friday, 8:00 AM – 5:00 PM (EST hours)
 

Position Summary:

Seeking an experienced Intake Agent with a healthcare call center background to support the Long-Term Services and Supports (LTSS) team. This is a fully remote opportunity for candidates located in EST or CST time zones who are passionate about providing exceptional member and provider service while coordinating care activities efficiently.

Key Responsibilities:

  • Handle inbound calls from members and providers related to healthcare services via phone, fax, or EDI.

  • Utilize internal systems (Profax, Dynamo, QNXT) to create LTSS cases and manage member data.

  • Screen calls and cases for appropriate routing to clinical medical services staff.

  • Assist in the coordination of medical and LTSS services, including outreach and support to care teams.

  • Approve services that do not require clinical review based on plan guidelines.

  • Conduct non-clinical research including eligibility checks, coordination of benefits (COB), and benefit verifications.

  • Maintain accurate documentation in compliance with regulatory, accreditation, and risk management standards.

  • Place outbound calls to providers for additional case details or service authorizations.

  • Maintain strict confidentiality of member data per HIPAA and company policy.

  • Communicate and collaborate with internal Aetna case managers and care teams.

  • Support the administration of the precertification process, ensuring compliance with URAQ, NCQA, and other applicable standards.

Required Qualifications:

  • High School Diploma or GED (Mandatory)

  • 1–3 years of call center experience, preferably within healthcare

  • Strong communication and interpersonal skills (verbal & written)

  • Proficiency with Microsoft Word, Excel, and navigating multiple systems

  • Strong organizational skills and attention to detail

  • Ability to work independently and meet deadlines in a remote setup

Preferred Qualifications:

  • Prior experience with Aetna or CVS Health systems

  • Familiarity with healthcare terminology, insurance processes, and care management

Work Environment:

  • Fully remote (work from home)

  • Standard office equipment and quiet workspace required

  • Sedentary work involving long periods of sitting, typing, and screen time