Enrollment/Billing Senior Representative - Evernorth Health Services- Remote

The Cigna Group•Remote,

2d•$20 - $30•Remote

About The Position

The Payer Solutions Operations billing team is seeking an Enrollment/Billing Senior Representative to provide billing and collections support to new and existing accounts. The role manages a book of third-party administrator (TPA) business, including group account reconciliations, special-charge invoices, payment and census research, refund requests, and delinquency tracking and resolution. The representative works with internal and external customers, banks, vendors, and partners to resolve issues, and may create, analyze, and respond to standard and non-standard reports. The incumbent is dual-trained to support the cash team. Duties may include cash and census application, mailings, filing, electronic invoicing, and general administrative support. The position requires Excel experience and accurate, proficient 10-key data entry. It is remote, with a cable broadband or fiber-optic internet connection of at least 10 Mbps download and 5 Mbps upload required for employees working from home occasionally or permanently. The anticipated hourly rate is $20–$30, depending on relevant factors such as experience and geographic location. The role is anticipated to be eligible for an annual bonus plan.

Requirements

High school degree or equivalent required.
At least 3 years of work experience in a billing, accounting, or collections role.
Proficient in 10-key data entry.
Strong knowledge of Excel.
Knowledge of Microsoft applications.
Analytical, detail-oriented, and quality-oriented approach.
Solid problem-solving skills.
Ability to manage time and prioritize appropriately.
Responsive and urgent in dealing with internal and external clients.
Ability to multitask and shift priorities.
Ability to understand customer expectations and influence the organization to meet or exceed them.
Ability to work independently and proactively.
Strong verbal and written communication and organizational skills to interact effectively with all organizational levels and functions.
Leadership and motivational skills in a fast-paced environment.
Strong interpersonal skills.
For remote work, access to cable broadband or fiber-optic internet service with at least 10 Mbps download and 5 Mbps upload.

Nice To Haves

Bachelor’s degree preferred.
Knowledge of Genasys, SAP, or PCRS; alternatively, ability to learn new applications and systems quickly.

Responsibilities

Manage an assigned portfolio of complex client accounts.
Perform tasks related to collections processes and procedures.
Research and respond to billing or payment inquiries within established turnaround times, escalating issues as needed.
Work directly with third-party administrators, brokers, and/or clients to reconcile accounts receivable.
Facilitate conference calls or meetings with internal and external parties.
Research member eligibility and rate variances.
Analyze client data using various reports and resources.
Process group renewals, new business, terminations, and revisions.
Reconcile accounts periodically.
Calculate and create special-charge bills as needed.
Monitor delinquency reports and communicate with TPA partners.
Perform peer audits to ensure quality and mitigate financial risk or exposure.
Meet or exceed daily and quality goals and pursue individual development.
Use appropriate tools to track and monitor customers’ financial performance.
Work with matrix partners to resolve customer disputes and rate issues.
Partner with matrix organizations to identify and implement high-potential process improvements.
Apply accounting concepts and prepare monthly and requested ad hoc reports.
Provide internal and external customer service.
Process, review, and understand inputs from multiple systems.
Provide support for special projects as needed.
Support electronic invoicing and apply financial payments to accounting systems.
Perform filing and other general administrative duties.
Support the cash team, including cash and census application and mailings.
Understand the interrelationships between Cigna Healthcare matrix partners and how customer service deliverables, policies, cutoff dates, and billing affect timing and results.