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    3 months ago

    Bloomfield Hills, United States Beaumont Urgent Care Full time

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    3 months ago

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    4 weeks ago

    Bloomfield Hills, United States Beaumont Urgent Care Full time

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    2 weeks ago

    West Bloomfield, United States Beaumont Urgent Care Full time

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  • Patient Services Representative

    1 month ago

    West Bloomfield, United States Beaumont Urgent Care Full time

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    6 days ago

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    3 months ago

    Bloomfield Hills, United States Beaumont Urgent Care Full time

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  • Patient Services Representative

    3 months ago

    West Bloomfield, United States Beaumont Urgent Care Full time

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  • Nursing Assistant Trainee

    5 days ago

    Bloomfield, United States Good Samaritan Society Full time

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Enrollment/Billing Senior Representative

2 months ago

Bloomfield, United States The Cigna Group Full time

Cigna is currently hiring an Enrollment/Billing Sr. Representative. The Facets Adjustment Analyst is responsible for managing all administrative adjustment related items and inquiries for the Facets billing team. This includes, reviewing all administrative adjustments and manual ACH requests for accuracy and completion prior to being processed. Researching any unidentified check or electronic payments received and coordinating with the assigned Financial Analyst to get the funds applied correctly. Managing discretionary adjustments sent to the Facets billing team through the Underwriting Dashboard and submitting these for processing prior to system deadlines. Reviewing and processing Specialty Adjustments submitted by matrix partners prior to system deadlines. RESPONSIBILITIES: Verification sign-off on all Administrative Adjustments requiring Management approval Verification sign-off on all Manual ACH requests requiring Management approval Research and resolve unidentified cash items (no plan number included with payments) Manage Facets Underwriting Bill Adjustment mailbox and submit discretionary adjustments prior to system deadlines. Prepare specialty adjustments prior to system deadlines Drives changes in client behavior to achieve Cigna's financial results Conduct and lead training on administrative approval processes Identify potential up-training for partners in regards to Administrative Adjustments and work with Technical Coaches and Supervisors to determine need for additional training. Utilize problem solving skills and financial knowledge to identify root cause of client issues and partner with Payment Control team to improve the client experience and reduce financial risk Updates reporting timely and accurately Create and Maintain required SOP documentation and examples to support the role QUALIFICATIONS: HS Diploma or GED. Associate’s degree or equivalent work experience preferred Strong Technical and analytical skills Strong Attention to detail Ability to effectively problem-solve issues to resolution Strong customer-centric focus and ability to work directly with point of contact in a client-facing role Ability to establish strong matrix partner relationships and follow through on expectations Demonstrate ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work Ability to manage multiple and divergent priorities and deadlines Work independently and proactively with minimal support Basic knowledge of multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems) Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization 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. For this position, we anticipate offering an hourly rate of 18 - 28 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. 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. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.