Billing & Reimbursement Senior Representative - Whitestown, Indiana

The Cigna Group

1d • Hybrid

About The Position

Join our team our Accounts Receivable team that supports our Specialty Pharmacy - Accredo, as a Billing & Reimbursement Representative. In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect payment on outstanding claims in pursuit of reducing the company's accounts receivable. The qualified candidate must have a complete understanding of the billing and collection processes and require little supervision for routine work.

Requirements

• Must be located within driving distance of the Whitestown, Indiana office (4750 East 450 South) as this position is mainly remote/work from home, but attendance for training and meetings in-person as necessary is required (i.e. - quarterly team meetings, training, etc.).
• Must be able to work an 8-hour shift Monday - Friday for with flexibility to start work day between 6am - 9am EST.
• HS diploma or GED
• 3+ years relevant experience - healthcare or insurance industry highly preferred
• PC Skills including Microsoft Outlook, Excel, Word
• Strong written & verbal communication skills
• Strong critical thinking & investigative skills
• Detail oriented and strong organizational skills
• Self-starter and team player
• Focus on quality and service
• Demonstrated ability to meet multiple deadlines and manage a heavy workload
• Integrity to handle sensitive or confidential information is critical
• 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.

Nice To Haves

• Healthcare, insurance, pharmacy knowledge highly preferred

Responsibilities

• Prepares and reviews claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations
• Pursues collection activities to obtain reimbursement from patients and/or payors
• Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial)
• Frequent follow up with payers and/or patients on outstanding accounts
• Responds to billing inquiries and questions relating to patient accounts
• Helps with special projects when needed

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED