Accounts Receivable Manager - Cigna Healthcare - Remote

Cigna Healthcare•Connecticut Work at Home, CT

1d•$66,600 - $111,000•Remote

About The Position

The Accounts Receivable Manager (Provider Relations Lead Analyst) is responsible for account receivable activity for a specific Provider Book of Business tied to an account management team. They will be a key partner to the Provider Relations Executive 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 Providers 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 Providers 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 and trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and late payment interest to minimize financial impacts.

Requirements

Bachelor’s degree or higher strongly preferred
3+ years of experience in claims administration highly preferred
Advanced knowledge of Proclaim or Facets required (PMHS preferred)
Proficient in Excel and PowerPoint
Access knowledge helpful
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

Nice To Haves

Some travel may be required

Responsibilities

Serves as a key member of the account management team responsible for Accounts Receivable Management
Collaborates with Accounts Receivable Manager and matrix partners to identify, resolve and improve Accounts Receivable issues
Key contributor to the development of the provider strategic plan for an aligned book of business
Proactively monitors account receivable, performance guarantees and other accounts receivable related issues and communicates results to Accounts Receivable Manager
Drives root cause analysis, trending related to accounts receivable resolution
Interacts directly with provider to understand, educate, communicate and resolve accounts receivable issues
Participates in face to face meetings with Accounts Receivable Manager as needed to act as an accounts receivable Subject Matter Expert
Manages accounts receivable issues/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 book of business as defined by the Service Experience Review 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
Responsible for tracking and trending all accounts receivable related issues timely and accurately in appropriate tools
Ability to read and understand data results