Accounts Receivable Manager

Job not on LinkedIn

🔥 3 minutes ago

🏈 Alabama, Alaska, +16 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ☕ Washington – Remote

💵 $66.6k - $111k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• 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 internally on issues and trends to minimize errors and improve claim accuracy • Monitor contractual performance guarantees and late-payment interest to minimize financial impacts • Collaborate with account management and matrix partners to identify, resolve, and improve accounts receivable issues • Contribute to provider strategic plans, market intelligence, and service experience reviews • Drive root cause analysis and trending related to accounts receivable resolution • Manage accounts receivable corrective action plans • Recommend changes to improve service levels based on root-cause findings • 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 needed as an accounts receivable subject matter expert • Read and understand data results

🎯 Requirements

• 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 Power Point • Access knowledge helpful • Experience with provider contracting or loading • Demonstrated ability to interact successfully with internal and external customers at all levels • Demonstrated ability to perform root cause analysis on claims issues • Demonstrated 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 • Some travel required • If working at home, internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• 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