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The job profile for this position is Enrollment/Billing Senior Representative, which is a Band 2 Professional Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can handle multiple priorities at once. You always keep your goals in mind and have a pretty easy-peasy time working with all different types of people.
We also know you are looking for an opportunity that lets you get your hands dirty, one that challenges your business acumen, and helps your career thrive. It’s nice to meet you too. Read on to learn more about our Enrollment and Billing Representative positions.
Let us tell you a little more. We are a Specialty Pharmacy that serves patients with complex and chronic health conditions. We are dedicated to helping patients improve their health, well-being and sense of security. We are a company that offers a rich benefit package, supports whole-person health, and provides career advancement opportunities.
What you will do:
As a member of Accredo’s Reimbursement team, you will edit, bill, and collect payment on outstanding claims with a goal of positively impacting the company’s revenue and accounts receivable balance. Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward Cigna’s growth strategy. To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role. Beyond your core responsibilities, you are expected to embrace a high performance culture through teamwork, personal development, accountability, and involvement in special committees/projects.
Billing – Review invoices against payer contracts and bill rules and correct discrepancies timely and accurately. Submit invoices according to payer’s required method of billing i.e. Website, payer portal, software, paper etc. while following company and payer requirements. Collaborate effectively with internal business partners as well as external payers to drive timely and accurate billings.
Collections – Investigate reason for unpaid balances from insurance companies; troubleshoot both internal, external issues and insurance denials. Work independently to research and resolve the unpaid balance while following Accredo policies as well as the insurance company requirements. Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts.
What you need to do the job:
• Associates degree or equivalent work experience strongly preferred.
• Accounts receivable background preferred
• Self-motivated and goal-oriented
• Independent and proactive problem-solving skills
• Ability to manage multiple priorities
• Solid written and verbal communication skills
• Strong research and analytical skills
• Team player with a positive attitude
• Detail oriented
• Solid organizational skills
• Proficient in Microsoft Office with working knowledge of Microsoft Excel
• Strong understanding of computer programs and hardware used for set up in a virtual environment
• Must meet work at home company requirements
• Must have strong ability to stay engaged in a virtual environment
NOTE: We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.
This role is Flex/WFH which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 18 – 28 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
