Claims Associate Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 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

• Review, research, and process accounts receivable claims in a timely and accurate manner • Investigate denied, delayed, or underpaid claims, identify root causes, and take corrective actions • Communicate via outbound calls with third party payers, providers, and internal departments to resolve claim-related issues • Document all claim activity and maintain detailed records in compliance with organizational standards • Monitor claim status and follow up to ensure prompt resolution and payment • Escalate complex claims or unresolved issues to senior representatives or management when necessary • Maintain a strong understanding of payer policies, compliance requirements, and company procedures

🎯 Requirements

• High school Diploma or GED • 2+ years of experience with medical claims handling and/or accounts receivable experience • 2+ years of experience with reconciliation, analytic skills, and the ability to interpret EOBs/EOPs, highly preferred • Proficient in Microsoft Office Products (Word, Outlook, Excel), required • Able to work both independently and collaboratively with a team, required • Highly oriented to detail, planning and organizing skills, required • Ability to work in a fast-paced environment, required • Time management and documentation skills • Ability to perform basic mathematics calculations, required • A high level of accuracy and attention to detail • For home-based work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting day one • 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

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