Enrollment/Billing Senior Representative - Remote at Cigna in Remote

Enrollment/Billing Senior Representative - Remote Location: United States Work at Home 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. 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 Proficient in Microsoft Office with working knowledge of Microsoft Excel 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 20 - 30 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.