Enrollment/Billing Representative - Remote
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AI Summary
POSITION SUMMARY
The Enrollment/Billing Representative provides straightforward administrative and/or other basic business services in Enrollment/Billing. This role provides financial related support for banking and/or billing related functions to new and/or existing accounts.
ESSENTIAL FUNCTIONS
Follow standard operating procedures to review and post medical payments on basic outstanding claims in pursuit of reducing the company's accounts receivable
Research, analyze, and correct complex cash posting issues
Read and understand medical explanation of benefits (remit)
Contact medical payors regarding complex payment issues
Document chart notes accurately
Escalate unresolved complex issues as needed
QUALIFICATIONS
Must be able to work Monday - Friday from 9am - 6pm EST with some flexibility
High school diploma or GED required
Experience posting medical payments in healthcare/insurance industry required
Proficiency in Excel (filter, sort, search, etc.) required
Experience in healthcare, insurance, pharmacy environment preferred
Prior experience in billing, reimbursement, collections or customer service preferred
Proficiency with PC and Microsoft Office suite - Word, Teams, SharePoint
Experience with RX home or Blue Zone a plus
Analytical skillset and strong attention to detail
Excellent retention and judgment ability
Proficient written and oral communication skills
Ability to work in fast-paced, payment processing environment
Reliable, self-motivated with excellent attendance
Team player who has the ability to stay on task with little supervision
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.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.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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