Enrollment/Billing Representative – HYBRID

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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Read Full Description