
10,000+ employees
đĽ Healthcare
đĄď¸ 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.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $66.6k - $111k / year
â° Full Time
đĄ Mid-level
đ Senior
đ° Accounts Receivable
đť Ghost score 0%
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10,000+ employees
đĽ Healthcare
đĄď¸ 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.
⢠Manage accounts receivable activity for a specific Provider Book of Business tied to an account management team ⢠Partner with the Provider Relations Executive on strategic planning to improve provider experience ⢠Ensure timely and accurate claims administration ⢠Monitor results and use resources and tools to help health care providers manage accounts receivable ⢠Provide direction and guidance on policies, procedures, workflows, claim service quality, and training needs ⢠Meet with assigned health care providers to discuss results, review issue trends, and develop improvement action plans ⢠Engage matrix partners to improve service and minimize contract interpretation issues ⢠Communicate and educate internal teams about issues and trends to minimize errors and improve claim accuracy ⢠Monitor contractual performance guarantees and late payment interest ⢠Collaborate with account management and matrix partners to identify, resolve, and improve accounts receivable issues ⢠Contribute to provider strategic planning for an aligned book of business ⢠Drive root cause analysis and trend analysis related to accounts receivable resolution ⢠Manage accounts receivable issues and corrective action plans ⢠Recommend service-level improvements based on root-cause findings ⢠Support the service experience review process ⢠Contribute to market intelligence and share documentation ⢠Achieve or exceed service level agreements ⢠Review pre- and post-contract setup for the assigned book of business ⢠Track and trend accounts receivable issues accurately in appropriate tools ⢠Participate in face-to-face meetings as an accounts receivable subject matter expert when needed
⢠Bachelor's Degree or higher strongly preferred or equivalent work experience ⢠3+ years of experience in benefits and claims administration ⢠3+ years of relationship management and project management experience ⢠Advanced knowledge of Cigna claims and supporting systems (Proclaim, PMHS, Facets) highly preferred ⢠Proficient in Excel and PowerPoint ⢠Access knowledge helpful ⢠Experience with provider contracting or loading ⢠Ability to interact successfully with internal and external customers at all levels ⢠Ability to perform root cause analysis on claims issues ⢠Ability to manage and resolve problems to satisfactory completion ⢠Project management skills including time management, task analysis and breakdown, and resource utilization ⢠Strong facilitation and negotiation skills ⢠Ability to present detailed technical information to less knowledgeable audiences and negotiate mutually beneficial resolutions ⢠Ability to understand how each phase of the claims payment process affects the end result and provider satisfaction ⢠Ability to handle confrontational situations professionally ⢠Ability to take ownership of tasks/projects and work under minimal supervision with exceptional outcomes ⢠Some travel required ⢠Must support the Mid-Atlantic region and East Coast hours ⢠Home internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload when working from home
⢠Annual bonus plan eligibility ⢠Medical, vision, and 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 ⢠Cable broadband or fiber optic internet requirement for home working
Apply NowđĽ 17 hours ago
Accounts Receivable Manager for Cigna Healthcare, improving provider claims administration and payment performance. Managing trends, corrective actions, and strategic provider relationships across the Mid-Atlantic and East Coast.
đşđ¸ United States â Remote
đľ $66.6k - $111k / year
â° Full Time
đĄ Mid-level
đ Senior
đ° Accounts Receivable
đ Yesterday
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