Enrollment and Billing Representative/Major Medical - Work from Home - Accredo at Cigna

Posted in General Business 2 days ago.

Type: Full-Time
Location: Bloomfield, Connecticut





Job Description:

**The selected candidate can work at home **Work Schedule: Monday thru Friday 8am to 4:30 or 5pm EST (dependent upon a 30 minute or 1 hour lunch)
We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can handle multiple priorities at once. You always keep your goals in mind and have a pretty easy-peasy time working with all different types of people.

We also know you are looking for an opportunity that lets you get your hands dirty, one that challenges your business acumen, and helps your career thrive. It's nice to meet you too. Read on to learn more about our Enrollment and Billing Representative positions.

Let us tell you a little more. We are a Specialty Pharmacy that serves patients with complex and chronic health conditions. We are dedicated to helping patients improve their health, well-being and sense of security. We are a company that offers a rich benefit package, supports whole-person health, and provides career advancement opportunities.

What you will do:

As a member of Accredo's Reimbursement team, you will edit, bill, and collect payment on outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance. 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 Cigna's 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. Beyond your core responsibilities, you are expected to embrace a high performance culture through teamwork, personal development, accountability, and involvement in special committees/projects.

Billing - Review invoices against payer contracts and bill rules and correct 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.

SUMMARY

Delivers straightforward administrative and/or other basic business services in Enrollment/Billing. Provides financial related support for banking and/or billing related functions to new and/or existing accounts. Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts. Works with internal/external customers, banks, vendors, and/or partners to resolve issues. May create, analyze and respond to standard and/or non-standard reports. Bills and/or collects outstanding/delinquent payments or issues payments. Audits accounts for compliance. Supports mid to large markets. Issues tend to be routine in nature. Good knowledge and understanding of Enrollment/Billing and business/operating processes and procedures. Works to clearly defined procedures under close supervision.

ESSENTIAL FUNCTIONS


  • Prepares and reviews claims to ensure billing accuracy.

  • Pursues collection activities to obtain reimbursement from payers and/or patients.

  • Frequent follow up with payers and/or patients on outstanding accounts.

  • Escalates delinquent and/or complex claims to Sr. Billing & Reimbursement Specialists for appropriate action.

QUALIFICATIONS


  • High School Diploma or GED Required.

  • 2-3 years relevant experience.

  • PC Skills including Microsoft Outlook, Excel, Word and Internet .

  • Coding experience is helpful

  • 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.

For this position, we anticipate offering an hourly rate of $16 - $22, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.





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