Provider Relations Accounts Receivable Manager - Cigna Healthcare - Remote

The Cigna Group

2d • Remote

About The Position

The job profile for this position is Provider Relations Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
Provider Relations Lead Analyst - Payroll Title
Serves as a key member of the account management team responsible for AR Management
Collaborate with experience manager and matrix partners to identify, resolve and improve AR issues
Key contributor to the development of the HCP strategic plan for an aligned BOB
Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
Drives root cause analysis, trending related to AR resolution
Interacts directly with HCP to understand, educate, communicate and resolve AR issues
Participates in face-to-face meetings with EM as needed to act as an AR SME
Manages AR issue action plans
Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause analysis
Supports service intent review process for specific BOB as defined by the SIR strategy
Contributes to market intelligence, documenting and sharing
Achieves and exceeds Service Level Agreements
Responsible for all pre/post contract set up review for assigned Book of Business (BOB)
Responsible for tracking and trending all AR related issues

Requirements

• Bachelor’s degree or higher strongly preferred or equivalent work experience required
• 5+ years’ experience in benefits and claims administration and/or relationship or project management experience
• Advanced knowledge of Cigna claims and supporting systems to include Proclaim (required), Facets (highly preferred) and PMHS (preferred)
• Excel required – to include pivot tables and VLOOKUP experience preferred
• 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
• 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.

Responsibilities

• Serves as a key member of the account management team responsible for AR Management
• Collaborate with experience manager and matrix partners to identify, resolve and improve AR issues
• Key contributor to the development of the HCP strategic plan for an aligned BOB
• Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
• Drives root cause analysis, trending related to AR resolution
• Interacts directly with HCP to understand, educate, communicate and resolve AR issues
• Participates in face-to-face meetings with EM as needed to act as an AR SME
• Manages AR issue action plans
• Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause analysis
• Supports service intent review process for specific BOB as defined by the SIR strategy
• Contributes to market intelligence, documenting and sharing
• Achieves and exceeds Service Level Agreements
• Responsible for all pre/post contract set up review for assigned Book of Business (BOB)
• Responsible for tracking and trending all AR related issues

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: Mid Level