The Cigna Group
The Cigna Group
The Cigna Group is a global healthcare company operating through Cigna Healthcare and Evernorth Health Services. Its work combines healthcare services, health insurance, and pharmacy benefits management to support the health and wellbeing of customers, clients, and patients. The company also focuses on ethical healthcare and artificial intelligence practices, health equity, responsible environmental and social governance, and innovation in how care is delivered.

Senior Enrollment and Billing Representative — The Cigna Group (Remote, US)

Manage Evernorth Health Services client billing and collections, including receivables reconciliation and invoice processing. Investigate eligibility, rates, and payment issues while supporting client accounts.

Description

  • Oversee a portfolio of complex client accounts.
  • Carry out collections procedures.
  • Investigate billing and payment questions, respond within required timeframes, and escalate issues when appropriate.
  • Reconcile receivables with third-party administrators, brokers, and clients.
  • Coordinate calls and meetings with internal and external groups.
  • Investigate member eligibility and rate discrepancies.
  • Review client information using reports and other resources.
  • Process group renewals, new business, terminations, and revisions.
  • Reconcile accounts on a recurring basis.
  • Calculate and prepare special charge invoices.
  • Review delinquency reports and contact third-party administrator partners.
  • Conduct peer audits to maintain quality and reduce financial exposure.
  • Meet or exceed daily, quality, and individual development targets.
  • Monitor customers’ financial performance with appropriate tools.
  • Address customer disputes and rate concerns with partner teams.
  • Find and implement promising process improvements with partner organizations.
  • Use accounting principles in daily work.
  • Prepare monthly and as-needed reports.
  • Serve internal and external customers.
  • Review and process information from multiple systems.
  • Contribute to special projects.
  • Handle electronic invoicing.
  • Post payments in accounting systems.
  • Complete filing and general administrative tasks.
  • Assist the cash team with cash and census application, mailings, filing, and electronic invoicing.
  • Understand how CIGNA HealthCare partner teams relate to customer service commitments.

Requirements

  • High school diploma or equivalent required; bachelor’s degree preferred.
  • At least three years of experience in billing, accounting, or collections.
  • Proficiency with numeric keypads.
  • Strong Excel skills.
  • Knowledge of Genasys, SAP, or PCRS preferred; must be able to learn new applications and systems quickly.
  • Analytical, detail-focused, and committed to quality.
  • Familiarity with Microsoft applications.
  • Sound problem-solving ability.
  • Able to manage time and set priorities effectively.
  • Responsive and attentive to urgent needs of internal and external clients.
  • Able to handle multiple tasks and changing priorities.
  • Understands customer expectations and the need for timely responses.
  • Able to work independently and take initiative.
  • Strong verbal and written communication and organizational skills.
  • Leadership and motivational abilities suited to a fast-paced setting.
  • Strong interpersonal abilities.
  • For home-based work, cable broadband or fiber internet with at least 10 Mbps download and 5 Mbps upload is required.

Benefits

  • Eligible for the annual bonus plan.
  • Medical, vision, and dental coverage.
  • Well-being and behavioral health programs.
  • 401(k) plan.
  • Company-paid life insurance.
  • Tuition reimbursement.
  • At least 18 days of paid time off annually.
  • Paid holidays.
  • Leaves of absence.
  • Home-based work requires cable broadband or fiber internet.

Related Jobs