Enrollment/Billing Representative - Remote

Cigna Healthcare

1d • $18 - $26 • Remote

About The Position

About the Department: Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives. Role Overview: As a member of the Evernorth Finance team, you will edit, bill, and collect payment on standard outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance. You will communicate opportunities for best practices based on issues identified. Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward our growth strategy. To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role. Editing – Review invoices against payer pricing and coding requirements Edit claims to payers unique billing requirements timely and accurately Ensure payer required documentation is on file Direct invoices to appropriate team member to bill when billing requirements are met Apply appropriate hold when billing requirements are not met Billing - Review invoices against payer contracts and bill rules and correct standard and routine discrepancies timely and accurately Submit invoices according to payer’s required method of billing i.e. website, payer portal, software, paper etc. while following company and payer requirements Collaborate effectively with internal business partners as well as external payers to drive timely and accurate billings

Requirements

• Must be able to work an 8 hour shift with a start time between 7am-9am EST, Monday-Friday
• HS diploma or GED required
• 1+ year of billing, collections, accounts receivable experience highly preferred
• PC skills including Microsoft Outlook, Excel, Word
• Self-motivated and goal-oriented
• Problem-solving skills
• Solid written and verbal communication skills
• Strong research and analytical skills
• Detail oriented and strong organizational skills
• 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

• Associate's degree or equivalent work experience strongly preferred
• 1+ year of RX Home experience preferred
• Healthcare/insurance experience highly preferred; specialty pharmacy, pharmacy or PBM experience a plus

Responsibilities

• Review invoices against payer pricing and coding requirements
• Edit claims to payers unique billing requirements timely and accurately
• Ensure payer required documentation is on file
• Direct invoices to appropriate team member to bill when billing requirements are met
• Apply appropriate hold when billing requirements are not met
• Review invoices against payer contracts and bill rules and correct standard and routine discrepancies timely and accurately
• Submit invoices according to payer’s required method of billing i.e. website, payer portal, software, paper etc. while following company and payer requirements
• Collaborate effectively with internal business partners as well as external payers to drive timely and accurate billings

Benefits

• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees