Accounts Receivable Manager - Cigna Healthcare - Remote
About the position
This position is responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business (for the Mid-West/Mid-America Market) tied to an account management team. They will be a key partner to the experience manager supporting strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Professionals in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement. Engages matrix partners to achieve service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and LPI to minimize financial impacts.
Responsibilities
• Serves as a key member of the account management team responsible for AR Management
• Collaborates with experience manager and matrix partners to identify, resolve and improve AR issue.
• Key contributor to the development of the HCP strategic plan for an aligned BOB
• Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
• Drives root cause analysis, trending related to AR resolution
• Interacts directly with HCP to understand, educate, communicate and resolve AR issues
• Participates in face to face meetings with EM as needed to act as an AR SME
• Manages AR issue/corrective action plans
• Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause
• Supports service experience review process for specific BOB as defined by the SER strategy
• Contributes to market intelligence, documenting and sharing
• Achieves and or exceeds Service Level Agreements
• Responsible for all pre/post contract set up review for assigned Book of Business (BOB)
• Responsible for tracking and trending all AR related issues timely and accurately in appropriate tools
Requirements
• Bachelor's degree or higher strongly preferred or equivalent work experience required
• 3+ years of experience in benefits and claims administration and/or relationship or project management experience
• Advanced knowledge of Proclaim required with Facets preferred.
• Excel experience required (pivot tables/VLOOKUP nice to have)
• Experience with provider contracting or loading
• Demonstrated ability to successfully interact with both internal and external customers at all levels
• Demonstrated ability to perform root cause analysis on claims issues.
• Demonstrated ability to manage and resolve problems to satisfactory completion
• Project management skills to include time management, task analysis and breakdown and resource utilization
• Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both CIGNA and the provider.
• Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
• Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between CIGNA and the provider.
• Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
• Some minimal travel may be required
• 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.
Benefits
• 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 and paid holidays.
Apply Now
Apply Now
This position is responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business (for the Mid-West/Mid-America Market) tied to an account management team. They will be a key partner to the experience manager supporting strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Professionals in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement. Engages matrix partners to achieve service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and LPI to minimize financial impacts.
Responsibilities
• Serves as a key member of the account management team responsible for AR Management
• Collaborates with experience manager and matrix partners to identify, resolve and improve AR issue.
• Key contributor to the development of the HCP strategic plan for an aligned BOB
• Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
• Drives root cause analysis, trending related to AR resolution
• Interacts directly with HCP to understand, educate, communicate and resolve AR issues
• Participates in face to face meetings with EM as needed to act as an AR SME
• Manages AR issue/corrective action plans
• Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause
• Supports service experience review process for specific BOB as defined by the SER strategy
• Contributes to market intelligence, documenting and sharing
• Achieves and or exceeds Service Level Agreements
• Responsible for all pre/post contract set up review for assigned Book of Business (BOB)
• Responsible for tracking and trending all AR related issues timely and accurately in appropriate tools
Requirements
• Bachelor's degree or higher strongly preferred or equivalent work experience required
• 3+ years of experience in benefits and claims administration and/or relationship or project management experience
• Advanced knowledge of Proclaim required with Facets preferred.
• Excel experience required (pivot tables/VLOOKUP nice to have)
• Experience with provider contracting or loading
• Demonstrated ability to successfully interact with both internal and external customers at all levels
• Demonstrated ability to perform root cause analysis on claims issues.
• Demonstrated ability to manage and resolve problems to satisfactory completion
• Project management skills to include time management, task analysis and breakdown and resource utilization
• Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both CIGNA and the provider.
• Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
• Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between CIGNA and the provider.
• Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
• Some minimal travel may be required
• 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.
Benefits
• 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 and paid holidays.
Apply Now
Apply Now