Accounts Receivable Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Collaborate with matrix partners to identify, resolve, and improve Accounts Receivable issues using claim knowledge, research, and critical thinking • Engage, consult, and influence matrix partners to achieve service improvements and minimize contract interpretation • Drive root-cause analysis trending related to Accounts Receivable resolution • Lead research into system issues and identify appropriate business-operations solutions • Manage escalated issues through appropriate workflow tools • Communicate recommendations for changes identified through root-cause analysis • Communicate and educate internal partners about issues and trends to minimize errors and improve claim accuracy • Assess how contract setup, business policies, and technology affect claim payment • Participate in meetings as a Claim Subject Matter Expert • Provide education on Accounts Receivable processes to internal partners • Participate in or lead special-project initiatives • Achieve or exceed Service Level Agreements

🎯 Requirements

• Associate's Degree or higher strongly preferred, or equivalent work experience required • 3+ years of experience in claims processing required • 3+ years of experience in claims administration highly preferred • Advanced knowledge of Proclaim and Facets required • Advanced knowledge of other Cigna claim processing systems preferred • Intricate knowledge of current claim business practices, policies, and procedures • Ability to connect claim-business knowledge with technology and claim-payment outputs • Ability to navigate across business units to identify root causes • Solid proficiency in Excel, including basic formulas, VLOOKUPs, filtering, and formatting • Time management, task analysis and breakdown, and resource utilization skills • Understanding of how results affect provider satisfaction • Ability to interact successfully with internal and external customers at all levels • Ability to take ownership of tasks and projects and work under minimal supervision • Ability to understand the full claims payment process and its effect on provider satisfaction • Home internet connection through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload when working remotely

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work arrangement