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Enrollment/Billing Senior Representative

4 months ago

Warrendale, Pennsylvania, United States The Cigna Group Full time
The job profile for this position is Enrollment/Billing Senior Representative, which is a Band 2 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can effectively manage multiple priorities with strong outcomes. You always keep your goals in mind and have a pretty easy-peasy time working with all different types of people.

We also know you are looking for an opportunity that lets you get your hands dirty, one that challenges your business acumen, and helps your career thrive. It's nice to meet you too

Read on to learn more about our Enrollment and Billing Senior Representative positions.

Let us tell you a little more. We are a Specialty Pharmacy that serves patients with complex and chronic health conditions. We are dedicated to helping patients improve their health, well-being and sense of security. We are a company that offers a rich benefit package, supports whole-person health, and provides career advancement opportunities.

Responsibilities:

  • Edit, bill, and collect payment on complex and unique outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance.
  • Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward Cigna's growth strategy.
  • To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role.
  • Beyond your core responsibilities, you are expected to embrace a high-performance culture through teamwork, personal development, accountability, and involvement in special committees/projects.
  • As a Senior Representative you may support larger and more complex accounts, research and identify accounts receivable trends, implement tactics to improve collections and communicate opportunities for best practices based on issues identified. You will work without immediate supervision but will have ready access to guidance from experienced team members.

Collections:

  • Investigate reason for unpaid balances from insurance companies; troubleshoot both internal, external issues and insurance complex denials.
  • Work independently to research and resolve the unpaid balance while following Accredo policies as well as the insurance company requirements.
  • Identifies trends, develops and implements processes to improve results.
  • Resolves non-routine issues escalated from less experienced team members.
  • Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts.

Requirements:

  • Associate degree or equivalent work experience strongly preferred.
  • Accounts receivable background preferred.
  • Self-motivated and goal-oriented
  • Independent and proactive problem-solving skills
  • Ability to manage multiple priorities.
  • Solid written and verbal communication skills
  • Strong research and analytical skills
  • Team player with a positive attitude
  • Detail oriented.
  • Solid organizational skills
  • Proficient in Microsoft Office with working knowledge of Microsoft Excel
  • Strong understanding of computer programs and hardware used for setting up in a virtual environment.
  • Must meet work at home company requirements and have a strong ability to stay engaged in a virtual environment.

NOTE: We are training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired Ethernet connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up. This position is 100% remote and can be performed anywhere in the USA.


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.