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Enrollment & Billing Representative - HYBRID

3 months ago

Whitestown, Indiana, United States The Cigna Group Full time
The job profile for this position is Enrollment/Billing Representative, which is a Band 1 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.

This is a Hybrid role that will require on-site presence

Working Hours: 8:00am - 4:30pm

POSITION SUMMARY

Utilizes advanced knowledge to review claims, to ensure billing accuracy, and to edit, bill and collect payment on outstanding claims while reconciling patient accounts in pursuit of reducing the company's accounts receivable and escalations. Requires complete understanding of the billing and collection processes and little supervision for routine work.

ESSENTIAL FUNCTIONS

  • Prepares and reviews claims to ensure billing accuracy according to payor requirements.
  • Pursues collection activities to obtain reimbursement from payors. Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
  • Frequent follow up with payers and/or patients on outstanding accounts.
  • Responds to billing inquiries and questions relating to patient accounts.
  • Frequently uses phone/email/portal communications with patients and payors.

QUALIFICATIONS

  • HS Degree (or equivalent).
  • 1+ years collections and billing experience.
  • PC Skills including Microsoft Outlook, Excel, Word and Internet.
  • Detail oriented and strong organizational skills.
  • Self-starter and team player.
  • Focus on quality and service.
  • Demonstrated ability to meet multiple deadlines and manage a heavy workload.
  • Integrity to handle sensitive or confidential information is critical.

ABOUT THE DEPARTMENT


If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, account reconciliation, or collections and billing, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.


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.