Accounts Receivable Lead — Provider Relations & Strategy

Cigna Health and Life Insurance Company; Virginia; Híbrido; USD 67.000 - 111.000; Jornada completa

Descripción de la vacante

The Cigna Group is seeking a Provider AR Specialist to manage accounts receivable for a defined provider book of business, partnering with the Provider Relations Executive to improve provider experience. This role supports timely claims administration, drives error reduction, and collaborates with matrix partners to resolve AR issues while traveling as needed to meet with providers.

Qualified candidates have a bachelor’s degree, 3+ years in benefits and claims administration, and strong

Formación

• 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 facilitate and negotiate; read the big picture and drive outcomes.
• Ability to read data results and communicate insights.

Responsabilidades

• Serves as a key member of the account management team responsible for Accounts Receivable Management.
• Collaborates with AR Manager and matrix partners to identify, resolve and improve AR issues.
• Key contributor to the development of the provider strategic plan for an aligned book of business.
• Proactively monitors AR performance and communicates results to AR Manager.
• Drives root cause analysis and trends related to AR resolution.
• Interacts with providers to educate, communicate and resolve AR issues.
• Participates in face-to-face meetings with AR Manager as needed.
• Manages AR issues/corrective actions and proposes service improvements.
• Supports service experience review process for the book of business.
• Tracks and shares market intelligence and AR performance data.

Conocimientos

Excel proficiency

PowerPoint proficiency

Relationship management

Project management

Root-cause analysis

Negotiation skills

Provider communications

Data interpretation

Communication with providers

Educación

Bachelor's Degree or higher

Herramientas

Proclaim

PMHS

Facets

Excel

PowerPoint

Access

Descripción del empleo

The Cigna Group is seeking a Provider AR Specialist to manage accounts receivable for a defined provider book of business, partnering with the Provider Relations Executive to improve provider experience. This role supports timely claims administration, drives error reduction, and collaborates with matrix partners to resolve AR issues while traveling as needed to meet with providers.

Qualified candidates have a bachelor’s degree, 3+ years in benefits and claims administration, and strong