- Serves as a key member of the account management team responsible for Accounts Receivable Management
- Collaborates with experience manager and matrix partners to identify, resolve and improve Accounts Receivable issues
- Key contributor to the development of the provider strategic plan for an aligned book of business
- Proactively monitors account receivable, performance guarantees and other accounts receivable related issues and communicates results to Experience Manager
- Drives root cause analysis, trending related to accounts receivable resolution
- Interacts directly with provider to understand, educate, communicate and resolve accounts receivable issues
- Participates in face to face meetings with Experience Manager as needed to act as an accounts receivable Subject Matter Expert
- Manages accounts receivable issues/corrective action plans
- Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause
- Supports service experience review process for specific book of business as defined by the Service Experience Review strategy
- Contributes to market intelligence, documenting and sharing
- Achieves and or exceeds Service Level Agreements
- Responsible for all pre/post contract set up review for assigned book of business
- Responsible for tracking and trending all accounts receivable related issues timely and accurately in appropriate tools
- Ability to read and understand data results
- College degree or equivalent work experience
- Typically has three to five years of experience in benefits and claims administration and/or relationship or project management experience
- Advanced knowledge of claims and supporting systems, including deep experience using Proclaim. Facets experience is a plus.
- Proficient in Excel and Power Point
- 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
- Project management skills to include time management, task analysis and breakdown and resource utilization
- Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both CIGNA and the provider
- Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
- Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between CIGNA and the provider
- Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes
Accounts Receivable Manager - Remote, United States - The Cigna Group
Description
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.
POSITION SUMMARY:
This position is responsible for account receivable activity for a specific Provider Book of Business tied to an account management team. They will be a key partner to the Experience Manager supporting strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Providers in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Regularly meets with assigned Health Care Providers to discuss results, review issue trends, and develop action plans for improvement. Engages matrix partners to achieve service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and late payment interest to minimize financial impacts.
DUTIES AND RESPONSIBILITIES:
POSITION REQUIREMENTS:
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.