• Job Description

  Req#: 23018117

  POSITION SUMMARY

  In the Enrollment/ Billing Senior Representative role, you will be responsible for providing world class customer service to our clients. You will interact regularly with internal and external customers and partners as it relates to client invoicing, account reconciliation and collections. This role requires analyzing complex client data to reconcile and resolve discrepancies.

  Primary Responsibilities

  • Manage assigned portfolio of complex client accounts

  • Perform tasks related to collections processes and procedures

  • Perform tasks related to review of client AR for preparation of necessary adjustments/disbursements to submit to processing team

  • Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed.

  • Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable

  • Facilitate conference calls or meetings with internal and external parties

  • Extensive research related to member eligibility and rate variances

  • Prepare necessary adjustments to resolve member level discrepancies identified in reconciliation process

  • Build effective relationships with internal and external partners

  • Handle special billing or report requests

  • Analyze client data utilizing various reports and resources

  • Prepare and distribute Schedule A & C tax forms

  • Coordinate various activities to ensure compliance with tax regulations

  Key Qualifications

  • High school diploma or GED required; Bachelor's degree preferred

  • 3+ years of experience in the Healthcare Industry, Pharmacy, or PBM

  • Previous work experience in a fast paced business environment

  • Microsoft Office with intermediate Excel and Access knowledge (v-look up proficiency, pivot tables and formulas) required

  • Accounts Receivable experience a plus

  • High level of initiative and leadership skills

  • Ability to handle complex, difficult or escalated issues

  • Excellent organizational aptitude and high attention to detail

  • Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients

  • Team player with effective verbal and written communication skills

  • Strong analytical and problem-solving skills

  • Ability to multi task and prioritize workload

  
  

  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 17 - 26 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 Cigna Healthcare

  Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.

• About the company

  Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.

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