Accounts Receivable Manager

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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 • Support the Provider Relations Executive with strategic planning to improve provider experience • Ensure timely and accurate claims administration • Monitor results and use resources and tools to help healthcare providers manage accounts receivable • Provide direction on policies, procedures, workflows, claim service quality, and training needs • Meet with assigned healthcare providers to review results, issue trends, and improvement action plans • Engage matrix partners to improve service and minimize contract interpretation issues • Communicate and educate internal stakeholders about issues and trends to reduce errors and improve claim accuracy • Monitor contractual performance guarantees and late payment interest • Collaborate with account management and matrix partners to identify and resolve accounts receivable issues • Contribute to provider strategic plans and market intelligence • Perform root cause analysis and trend accounts receivable resolution • Manage accounts receivable issues and corrective action plans • Recommend service-level improvements based on root-cause findings • Support service experience reviews for the assigned book of business • Review pre- and post-contract setup • 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 • Achieve or exceed service-level agreements

🎯 Requirements

• Bachelor’s degree or higher strongly preferred • 3+ years of experience in claims administration highly preferred • Advanced knowledge of Proclaim or Facets required; PMHS 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 and projects and work under minimal supervision with exceptional outcomes • Ability to read and understand data results • Some travel may be required • Home internet connection must use cable broadband or fiber optic service with at least 10Mbps download and 5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits starting on day one • Vision benefits starting on day one • Dental benefits starting on day one • Well-being and behavioral health programs starting on day one • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Work-from-home arrangement • Cable broadband or fiber optic internet service with minimum speeds of 10Mbps download/5Mbps upload for home workers