Enrollment/Billing Representative - Whitestown, Indiana

Cigna Healthcare • Indiana Work at Home, IN

2d • Hybrid

About The Position

This is mainly a remote/work at home position, but the candidate selected must be within driving distance to Whitestown, Indiana, as it will require several days in office per quarter to be on-site in the Whitestown, Indiana office. The schedule is Monday - Friday, 8:00 am - 4:30 pm EST. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Requirements

• Must be local to Whitestown, Indiana & willing and able to come onsite as needed for training and meetings
• Must be able to work an 8 hour shift Monday - Friday from 8:00 am - 4:30 pm EST
• High school diploma or GED required
• Customer service experience
• PC Skills including Microsoft Outlook, Excel, Word and Teams
• Strong written & verbal communication skills
• Detail oriented and strong organizational skills
• Self-starter and team player; willingness to learn
• 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
• 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 industry preferred
• Patient billing and collections experience preferred
• Rx Home, CSP, Blue Zone experience a plus

Responsibilities

• Prepare and review claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations.
• Pursue collection activities to obtain reimbursement from payors and/or patients.
• Contact payors 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).
• Make 10-20 outbound calls daily, as needed.
• Frequent follow up with payers and/or patients on outstanding accounts.
• Respond to billing inquiries and questions relating to patient accounts.
• Frequently use phone/email/portal communications with patients and payors.

What This Job Offers

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