Senior Enrollment/Billing Representative

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟠 Senior

📊 Billing Specialist

👻 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 an assigned portfolio of complex client accounts • Perform collections processes and procedures • Research and respond to billing or payment inquiries within established turnaround times; escalate issues as needed • Reconcile accounts receivable with third-party administrators, brokers, and clients • Facilitate conference calls or meetings with internal and external parties • Research member eligibility and rate variances • Analyze client data using reports and other resources • Process group renewals, new business, terms, and revisions • Reconcile accounts periodically • Calculate and create special charge bills • Monitor delinquency reports and communicate with TPA partners • Perform peer audits to ensure quality and mitigate financial risk or exposure • Achieve or exceed daily goals, quality goals, and individual development goals • Track and monitor customers’ financial performance using appropriate tools • Resolve customer disputes and rate issues with matrix partners • Identify and implement high-potential process improvements with matrix organizations • Apply accounting concepts • Prepare monthly and ad hoc reports • Provide internal and external customer service • Process, review, and understand inputs from multiple systems • Support special projects • Perform electronic invoicing • Apply financial payments to accounting systems • Perform filing and general administrative duties • Provide cash-team support, including cash and census application, mailings, filing, and electronic invoicing • Understand relationships between CIGNA HealthCare matrix partners and customer-service deliverables

🎯 Requirements

• High School Degree or equivalent is required; Bachelor’s degree preferred • 3+ years work experience in billing, accounting, or collections role • Proficient in 10 keys • Strong knowledge of Excel • Genasys, SAP, PCRS system knowledge preferred, or quick learner of new applications and systems • Analytical, attention-to-detail, and quality-oriented • Knowledge of MS applications • Ability to demonstrate solid problem solving skills • Demonstrate ability to manage time and prioritize appropriately • Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients • Ability to multi-task and shift priorities • Understanding of customer expectations and sense of urgency • Ability to work independently and proactively • Strong verbal/written communication and organizational skills • Leadership and motivational skills in a fast-paced environment • Strong interpersonal skills • If working at home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload is required

🏖️ 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 • Cable broadband or fiber optic internet requirement for home working