Enrollment/Billing Senior Representative - Remote (cigna)

• As a member of the Evernorth Finance team, you will edit, bill, and collect payment on complex and unique 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 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.

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• Beyond your core responsibilities, you are expected to embrace a high performance culture through teamwork, personal development, accountability, and involvement in special committees/projects.

• As a Senior Representative you may support larger and more complex accounts, research and identify accounts receivable trends, implement tactics to improve collections and communicate opportunities for best practices based on issues identified. 

• You will work without immediate supervision, but will have ready access to guidance from experienced team members.

Collections –

• Work complex collections issues to understand root cause of non-payment, focusing on steps necessary to resolve denial and secure payment.

• Investigate reasons for unpaid balances from insurance companies.

• Troubleshoot both internal & external issues that result in collections efforts.

• Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements.

• Identify payor issues/trends, develop and implement processes to improve results, and resolve non-routine issues escalated from less experienced team members.

• Work special payor projects as necessary when challenges arise that need to be addressed in the aggregate.

• Help ensure all collection efforts are exhausted before adjustments are recommended.

• Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts. Serves as a mentor for new hires on tasks associated with role.

What you need to do the job:

• High School Diploma or GED required

• Associates Degree or equivalent work experience strongly preferred

• Professional experience in collections strongly preferred

• Professional experience in healthcare collections highly preferred

• RX Home experience strongly preferred

• Accounts receivable background preferred

• Self-motivated and goal-oriented

• Independent and proactive problem-solving skills

• Ability to manage multiple priorities

• Solid written and verbal communication skills

• Strong research and analytical skills

• Team player with a positive attitude

• Detail oriented

• Solid organizational skills

• Proficient in Microsoft Office with working knowledge of Microsoft Excel

• Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment