[Hiring] Accounts Receivable Analyst @Cigna Healthcare

Role Description

As a member of the Provider Solutions and Operations team, the Accounts Receivable Analyst / Provider Relations Analyst role supports the Service Model through claim problem analysis, root cause identification, and resolution. This is an internally facing role supporting the Accounts Receivable Management team and the dedicated Gold-tier and Silver-tier participating providers.

• Collaborates with matrix partners to identify, resolve and improve Accounts Receivable issues by utilizing claim knowledge, research and critical thinking skills.
• Routinely engages, consults and influences matrix partners to achieve service improvements and minimize contract interpretation.
• Drives root cause analysis trending related to accounts receivable resolution.
• Leads efforts to research system issues and identify appropriate solutions for the business operations.
• Manages escalated issues received through appropriate workflow tools.
• Communicates recommendations for changes to improve service as identified through root cause analysis.
• Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy.
• Understands how contract set up and current business policies and technology will affect claim payment.
• Participates in meetings as needed to act as a Claim Subject Matter Expert.
• Provides education on AR processes to internal partners.
• May participate in or lead special project initiatives.
• Achieves and or exceeds Service Level Agreements.

Qualifications

• Associate's Degree or higher strongly preferred or equivalent work experience required.
• 3+ years of experience in claims administration highly preferred.
• 3+ years of experience in claims processing required.
• Advanced knowledge of Proclaim and Facets required.
• Advanced knowledge of other Cigna claim processing systems preferred.
• Skills critical to this role include an intricate knowledge of current claim business practices, policies and procedures.
• Solid proficiency in Excel (basic formulas, V lookups, filtering and formatting are all required).
• Skills to include time management, task analysis and breakdown and resource utilization.
• Understanding of the effect that the end result has on Provider satisfaction.
• Demonstrated ability to successfully interact with both internal and external customers at all levels.
• Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
• Demonstrated ability to see the "big picture" and understand how each phase of the claims payment process affects the end result and provider satisfaction.

Requirements

• For this position, we anticipate offering an hourly rate of 24 - 36 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.
• 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.

Benefits

• Comprehensive range of benefits, with a focus on supporting your whole health.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) and company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year.
• Paid holidays and leaves of absence.

Company Description

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.