[Remote] Enrollment/ Billing Senior Analyst - Evernorth Health Services - Remote

Note: The job is a remote job and is open to candidates in USA. The Cigna Group is a healthcare company that offers pharmacy, care, and benefit solutions through its division, Evernorth Health Services. They are seeking a Senior Enrollment and Billing Analyst to provide billing and collections support to complex client accounts, manage bank and customer accounts, and resolve billing inquiries. The role involves extensive research and analysis, as well as collaboration with various stakeholders to improve processes and ensure high-quality service delivery.

Responsibilities

• Manage assigned portfolio of complex client accounts
• Perform tasks related to collections processes and procedures
• Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed
• Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
• Facilitates conference calls or meetings with internal and external parties
• Extensive research related to member eligibility and rate variances
• Analyze client data utilizing various reports and resources
• Process group renewals, new business, terms and revisions
• Account reconciliation on a periodic basis
• Calculate and create special charge bills as needed
• Monitor delinquency reports and send communication to TPA partners
• Peer audit process to ensure quality and mitigate financial risk or exposure
• Responsible for achieving or exceeding daily goals, quality goals, and individual development
• Ensures appropriate use of tools to track and monitor the financial performance of customers
• Work with matrix partners to resolve customer disputes and rate issues
• Partners with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements
• Understand and use accounting concepts
• Prepare monthly and other requested ad hoc reporting
• Provide both internal and external customer service
• Process, review and understand multiple systems inputs
• Special project support as needed
• Electronic Invoicing
• Application of financial payments to accounting systems
• Filing and other general administrative duties
• Account reconciliation on a periodic basis
• Knowledge/understanding of the interrelationships between CIGNA HealthCare matrix partners
• Understanding of customer service deliverables (policies, cutoff dates, billing) and their impact on timing and results

Skills

• High School Diploma or equivalent experience is required; Bachelor's degree preferred
• 3+ years work experience in billing, accounting, or collections role
• Proficient in 10 keys
• Strong knowledge of Excel
• Genasys, SAP, PCRS system knowledge preferred, or quick learner of new applications and systems
• Analytical, attention-to-detail, and quality-oriented
• Knowledge of MicroSoft applications
• Ability to demonstrate solid problem solving skills
• Demonstrate ability to manage time and prioritize appropriately
• Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients
• Ability to multi-task and shift priorities
• Demonstrate strength and understanding of customer expectations and 'sense of urgency' resulting in the ability to influence the organization to meet and exceed customer expectations
• Ability to work independently and pro-actively
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization
• Demonstrate leadership and motivational skills in fast-paced environment
• Strong interpersonal skills

Benefits

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

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