Cigna Provider Relations Associate Analyst USA
Job title: Provider Relations Associate Analyst
Company: Cigna
Job description: Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation. This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
Summary
Contributes to the Provider Relations job family in a support capacity. Completes output (documentations, analyses, product) in a specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Relations.
Responsibilities:
The primary responsibility of this role is to answer inbound calls from providers and their support staff. The work environment is structured, and the majority of the day will be spent answering these calls from a queue. Occasional outbound calls may be necessary for issues requiring follow-up. The position is considered entry-level within Evernorth.
Within a call an advocate may:
Communicate eligibility, benefits, and authorization requirements to providers for their customers who have Cigna and/or Evernorth coverage
Write authorizations to ensure claims are paid correctly
Interpret claims information using multiple claim platforms, assist the provider with any claim processing issues, or send claims back for reconsideration if necessary
Educate the provider regarding billing procedures, or when there are billing issues
Provide follow-up on issues by making outbound calls when necessary
Send resources to providers via email
Submit a complaint on the providers behalf
Independently problem-solve to ensure accurate information is given, and exceptional customer service and first call resolution is achieved
Skills
Customer Service experience.
Ability to maintain a professional and positive image to external customers.
Candidate must possess superb interpersonal communication skills.
Effective listening and organizational skills, with the ability to manage multiple tasks.
Intuitive technical capabilities with the ability to quickly understand and apply working knowledge on several proprietary systems.
Ability to type effectively and have strong PC skills.
Work Schedule
During training, the hours for this position are Mon-Fri 8:30am-5:00pm CST. Once all of the training is completed, the hours for this position are Mon-Fri 10:30am-7:00pm CST for a period of time until an earlier shift becomes available (if an earlier shift is preferred).
Alternate work hours and scheduling options such as 4 X 10s, 1 hour lunch, etc. are available post training. However, shift selections and availability for alternate work schedules are based on tenure within the company.
Training
The training for this position consists of two parts Eligibility and Benefits Training, and Claim Training. Each part is approximately four weeks long. Hours during training are 8:30am-5:00pm CST. After all of the training is completed, the hours for this position will be 10:30am-7:00pm CST. Hours may vary based on business need.
Education
Bachelors Degree is preferred, but not required. Customer Service experience preferred.
Attendance Policy
Maintaining good attendance is important for all employees and is particularly important for those newly hired to the company.
The Corrective Action process for an employee who incurs an unscheduled or unapproved absence or event in his/her first 90 days of employment is outlined below.
1st unapproved absence or event will result in a Verbal Counseling.
2nd unapproved absence or event will result in a First Notice.
3rd unapproved absence or event will result in a Final Notice.
4th unapproved absence or event will result in termination.
Late Arrivals/Early Departures
Late arrivals and early departures without the appropriate notifications count towards an unscheduled, unapproved absence. Based on business need, a manager may allow an employee to make-up the time during that business day. However, this does not excuse the behavior.
Recording of Late arrivals
If an Advocate is late for any reason the following will determine how their time is recorded:
7 minutes to 15 minutes will be recorded as an occurrence
15 minutes to 30 minutes will be recorded as an occurrence and time may be made up on the same day at the managers discretion.
30 minutes or more will be recorded as an occurrence and time will be recorded as unscheduled time off. No portion of this time can be made up.
Any exceptions will be determined by the Supervisors.
If the attendance issues become excessive and/or if a trend develops that adversely impacts the employees productivity, performance and/or contribution to the organization, management may accelerate the corrective action process.
For this position, we anticipate offering an hourly rate of $18 - $28, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, well take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, youll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the Life at Cigna tab on our careersite:
About Evernorth
Evernorth, Cigna Corporations health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, youll be empowered to solve the problems others dont, wont or cant. Join us. What difference will you make?
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 require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
Cigna 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.
Expected salary: $18 - 28 per hour
Location: USA
Apply for the job now!
Apply Now
Company: Cigna
Job description: Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation. This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
Summary
Contributes to the Provider Relations job family in a support capacity. Completes output (documentations, analyses, product) in a specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Relations.
Responsibilities:
The primary responsibility of this role is to answer inbound calls from providers and their support staff. The work environment is structured, and the majority of the day will be spent answering these calls from a queue. Occasional outbound calls may be necessary for issues requiring follow-up. The position is considered entry-level within Evernorth.
Within a call an advocate may:
Communicate eligibility, benefits, and authorization requirements to providers for their customers who have Cigna and/or Evernorth coverage
Write authorizations to ensure claims are paid correctly
Interpret claims information using multiple claim platforms, assist the provider with any claim processing issues, or send claims back for reconsideration if necessary
Educate the provider regarding billing procedures, or when there are billing issues
Provide follow-up on issues by making outbound calls when necessary
Send resources to providers via email
Submit a complaint on the providers behalf
Independently problem-solve to ensure accurate information is given, and exceptional customer service and first call resolution is achieved
Skills
Customer Service experience.
Ability to maintain a professional and positive image to external customers.
Candidate must possess superb interpersonal communication skills.
Effective listening and organizational skills, with the ability to manage multiple tasks.
Intuitive technical capabilities with the ability to quickly understand and apply working knowledge on several proprietary systems.
Ability to type effectively and have strong PC skills.
Work Schedule
During training, the hours for this position are Mon-Fri 8:30am-5:00pm CST. Once all of the training is completed, the hours for this position are Mon-Fri 10:30am-7:00pm CST for a period of time until an earlier shift becomes available (if an earlier shift is preferred).
Alternate work hours and scheduling options such as 4 X 10s, 1 hour lunch, etc. are available post training. However, shift selections and availability for alternate work schedules are based on tenure within the company.
Training
The training for this position consists of two parts Eligibility and Benefits Training, and Claim Training. Each part is approximately four weeks long. Hours during training are 8:30am-5:00pm CST. After all of the training is completed, the hours for this position will be 10:30am-7:00pm CST. Hours may vary based on business need.
Education
Bachelors Degree is preferred, but not required. Customer Service experience preferred.
Attendance Policy
Maintaining good attendance is important for all employees and is particularly important for those newly hired to the company.
The Corrective Action process for an employee who incurs an unscheduled or unapproved absence or event in his/her first 90 days of employment is outlined below.
1st unapproved absence or event will result in a Verbal Counseling.
2nd unapproved absence or event will result in a First Notice.
3rd unapproved absence or event will result in a Final Notice.
4th unapproved absence or event will result in termination.
Late Arrivals/Early Departures
Late arrivals and early departures without the appropriate notifications count towards an unscheduled, unapproved absence. Based on business need, a manager may allow an employee to make-up the time during that business day. However, this does not excuse the behavior.
Recording of Late arrivals
If an Advocate is late for any reason the following will determine how their time is recorded:
7 minutes to 15 minutes will be recorded as an occurrence
15 minutes to 30 minutes will be recorded as an occurrence and time may be made up on the same day at the managers discretion.
30 minutes or more will be recorded as an occurrence and time will be recorded as unscheduled time off. No portion of this time can be made up.
Any exceptions will be determined by the Supervisors.
If the attendance issues become excessive and/or if a trend develops that adversely impacts the employees productivity, performance and/or contribution to the organization, management may accelerate the corrective action process.
For this position, we anticipate offering an hourly rate of $18 - $28, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, well take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, youll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the Life at Cigna tab on our careersite:
About Evernorth
Evernorth, Cigna Corporations health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, youll be empowered to solve the problems others dont, wont or cant. Join us. What difference will you make?
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 require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
Cigna 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.
Expected salary: $18 - 28 per hour
Location: USA
Apply for the job now!
Apply Now