Accounts Receivable Analyst - Cigna Healthcare - Remote

Cigna Healthcare•South Carolina Work at Home, SC

1d•$24 - $36•Remote

About The Position

As a member of the Provider Solutions and Operations team, the Accounts Receivable Analyst / Provider Relations Analyst role supports the Service Model through claim problem analysis, root cause identification, and resolution. This is an internally facing role supporting the Accounts Receivable Management team and the dedicated Gold-tier and Silver-tier participating providers.

Requirements

Associate's Degree or higher strongly preferred or equivalent work experience required.
3+ years of experience in claims administration highly preferred.
3+ years of experience in claims processing required.
Advanced knowledge of Proclaim and Facets required.
Advanced knowledge of other Cigna claim processing systems preferred.
Skills critical to this role include an intricate knowledge of current claim business practices, policies and procedures, the ability to link that knowledge to the multiple aspects of technology and the output of claim payment with the ability to navigate across business units to identify root cause
Solid proficiency in Excel (basic formulas, V lookups, filtering and formatting are all required).
Skills to include time management, task analysis and breakdown and resource utilization
Understanding of the affect that the end result has on Provider satisfaction
Demonstrated ability to successfully interact with both internal and external customers at all levels
Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes
Demonstrated ability to see the "big picture" and understand how each phase of the claims payment process affects the end result and provider satisfaction

Nice To Haves

Advanced knowledge of other Cigna claim processing systems preferred.

Responsibilities

Collaborates with matrix partners to identify, resolve and improve Accounts Receivable issues by utilizing claim knowledge, research and critical thinking skills
Routinely engages, consults and influences matrix partners to achieve service improvements and minimize contract interpretation
Drives root cause analysis trending related to accounts receivable resolution
Leads efforts to research system issues and identify appropriate solutions for the business operations
Manages escalated issues received through appropriate workflow tools
Communicates recommendations for changes to improve service as identified through root cause analysis
Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy
Understands how contract set up and current business policies and technology will affect claim payment
Participates in meetings as needed to act as a Claim Subject Matter Expert
Provides education on AR processes to internal partners
May participate in or lead special project initiatives
Achieves and or exceeds Service Level Agreements