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The Cigna Group este o companie globală din domeniul sănătății, care își desfășoară activitatea prin Cigna Healthcare și Evernorth Health Services. Activitatea sa combină serviciile de sănătate, asigurările de sănătate și gestionarea beneficiilor farmaceutice pentru a sprijini sănătatea și bunăstarea clienților, beneficiarilor și pacienților. Compania se concentrează, de asemenea, pe practici etice în domeniul sănătății și al inteligenței artificiale, pe echitatea în sănătate, pe guvernanța de mediu și socială responsabilă și pe inovarea modului în care sunt furnizate îngrijirile.
Accounts Receivable Manager - Cigna Healthcare - Remote
Manage provider accounts receivable, claims administration, payment performance, and corrective actions for Cigna Healthcare across the Mid-Atlantic and East Coast.
Descriere
- Oversee accounts receivable activity for an assigned provider book of business supporting an account management team
- Work with the Provider Relations Executive on strategic initiatives that strengthen the provider experience
- Maintain timely, accurate claims administration
- Analyze performance results and use available tools and resources to help providers manage accounts receivable
- Guide stakeholders on policies, procedures, workflows, claim service quality, and training requirements
- Meet with assigned providers to review results, discuss issue trends, and create improvement action plans
- Coordinate with matrix partners to improve service and reduce contract interpretation issues
- Share internal education on issues and trends to reduce errors and improve claim accuracy
- Monitor contractual performance guarantees and late-payment interest to limit financial impact
- Work with account management and matrix partners to identify, resolve, and improve accounts receivable issues
- Support provider strategic plans, market intelligence efforts, and service experience reviews
- Lead root-cause analysis and trend evaluation related to accounts receivable resolution
- Administer accounts receivable corrective action plans
- Recommend service-level improvements based on root-cause findings
- Meet or exceed established service-level agreements
- Review pre- and post-contract setup for the assigned book of business
- Accurately track and analyze accounts receivable issues in the appropriate tools
- Participate in face-to-face meetings as needed as an accounts receivable subject matter expert
- Interpret and understand data results
Cerințe
- Bachelor’s degree or higher is strongly preferred, or equivalent professional experience
- At least three years of experience in benefits and claims administration
- At least three years of relationship management and project management experience
- Advanced knowledge of Cigna claims and supporting systems, including Proclaim, PMHS, and Facets, is highly preferred
- Proficiency with Excel and PowerPoint
- Access knowledge is helpful
- Experience with provider contracting or system loading
- Proven ability to work effectively with internal and external customers at all organizational levels
- Experience conducting root-cause analysis for claims issues
- Ability to manage problems through satisfactory resolution
- Project management capabilities covering time management, task analysis, work breakdown, and resource utilization
- Strong facilitation and negotiation abilities
- Ability to present detailed technical information to less knowledgeable audiences and negotiate mutually beneficial outcomes
- Understanding of how each stage of the claims payment process affects final results and provider satisfaction
- Ability to manage confrontational situations professionally
- Ability to take ownership of tasks and projects while working with minimal supervision
- Willingness to travel occasionally
- For home-based work, a cable broadband or fiber-optic internet connection with at least 10 Mbps download and 5 Mbps upload speeds
Beneficii
- Eligibility for an 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
- Remote work arrangement
- Cable broadband or fiber-optic internet required for home-based work
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