Collections/Billing Representative - Remote
Revenue Cycling Management (RCM) Collections Representative - Evernorth Finance - Enrollment/Billing Representative
What you will do:
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.
You will communicate opportunities for best practices based on issues identified.
Collections –
Investigate reasons for unpaid balances from insurance companies
Bill and/or collect outstanding/delinquent payments or issue payments
Research and identify trends and develop and implement methods to improve results
Troubleshoot both internal & external issues and insurance denials
Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements
Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts
What you need to do the job:
Ability to work Monday - Friday 8:00am to 4:30pm EST
High school diploma or GED required; Associate’s degree or equivalent work experience strongly preferred
Professional experience in healthcare collections highly preferred
Accounts receivable background preferred
Proficient in Microsoft Office with working knowledge of Microsoft Excel
RX Home experience highly 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
Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment
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.
For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), 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, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.