[Hiring] Accounts Receivable Manager @The Cigna Group

Role Description

Due to the Book of Business, we are looking to hire someone who is able to support the Mid-Atlantic region and East Coast hours. 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 Provider Relations Executive 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.
• Monitors contractual performance guarantees and late payment interest to minimize financial impacts.

Qualifications

• Bachelor's Degree or higher strongly preferred or equivalent work experience.
• 3+ years of experience in benefits and claims administration.
• 3+ years of relationship management and project management experience.
• Advanced knowledge of Cigna claims and supporting systems (Proclaim, PMHS, Facets) highly preferred.
• 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 see the "big picture".
• Demonstrated ability to handle confrontational situations in a professional manner.
• Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
• Some travel required.

Requirements

• 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

• Annual salary of 66,600 - 111,000 USD / yearly, depending on relevant factors, including experience and geographic location.
• Eligible to participate in an annual bonus plan.
• 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.