The Cigna Group
The Cigna Group
The Cigna Group este o companie globală de servicii medicale și asigurări, care deservește persoane fizice, familii, angajatori, brokeri, furnizori de servicii medicale și beneficiari Medicare. Oferta sa include servicii medicale și stomatologice, produse farmaceutice, servicii de sănătate comportamentală, acoperiri suplimentare, planuri sponsorizate de angajatori, asigurări pentru persoane fizice și familii, Medicare și asigurări internaționale de sănătate în peste 200 de țări. Compania oferă, de asemenea, servicii digitale pentru membri prin myCigna, inclusiv servicii medicale la distanță și gestionarea solicitărilor de despăgubire, prin produse furnizate de subsidiare operaționale și afiliați regionali.

Senior Enrollment and Billing Representative

Manage billing, collections, and account reconciliations for Evernorth healthcare clients. Support third-party administrators, cash operations, reporting, and financial issue resolution in a U.S.-remote role.

Descriere

  • Support billing and collections for new and existing accounts.
  • Oversee third-party administrator business and a portfolio of complex client accounts.
  • Reconcile group accounts and accounts receivable.
  • Prepare invoices and bills for special charges.
  • Investigate and resolve payment, census, billing, eligibility, rate variance, delinquency, and customer dispute issues.
  • Request refunds and track delinquency reports.
  • Coordinate with third-party administrators, brokers, clients, customers, banks, vendors, partners, and cross-functional teams.
  • Arrange and lead calls and meetings with internal and external participants.
  • Review client data and produce monthly and one-off reports.
  • Handle group renewals, new business, terminations, and account changes.
  • Perform peer audits to maintain quality and reduce financial risk.
  • Monitor customer financial performance.
  • Find and implement process improvements.
  • Post financial payments in accounting systems.
  • Assist with cash and census applications, mailings, filing, electronic invoicing, and general administration.
  • Process and review inputs across multiple systems.
  • Serve internal and external customers.
  • Contribute to special projects as needed.
  • Meet or exceed daily, quality, and personal development targets.

Cerințe

  • High school diploma or equivalent required; bachelor's degree preferred.
  • At least 3 years of experience in billing, accounting, or collections.
  • Proficiency with 10-key data entry.
  • Strong Excel skills.
  • Knowledge of Genasys, SAP, or PCRS preferred; ability to learn new applications and systems quickly.
  • Analytical, detail-focused, and quality-oriented approach.
  • Knowledge of Microsoft applications.
  • Sound problem-solving skills.
  • Ability to manage time and set priorities effectively.
  • Responsive and urgent in addressing internal and external client needs.
  • Ability to multitask and adjust priorities.
  • Understands customer expectations and can influence the organization to meet or exceed them with urgency.
  • Able to work independently and take initiative.
  • Strong written and verbal communication and organizational skills for working across all organizational levels and functions.
  • Leadership and motivational abilities in a fast-paced environment.
  • Strong interpersonal skills.
  • Must work from within the United States.
  • Home internet must be cable broadband or fiber optic, with speeds of at least 10 Mbps download and 5 Mbps upload.

Beneficii

  • Eligible for an annual bonus plan.
  • Medical insurance.
  • Vision insurance.
  • Dental insurance.
  • 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.
  • Home internet must be cable broadband or fiber optic, with speeds of at least 10 Mbps download and 5 Mbps upload.

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