Billing & Reimbursement Senior Representative - Whitestown, Indiana, USA

Cigna Health and Life Insurance Company; Whitestown (IN); Remote; USD 45,000 - 65,000; Full time

Job summary

Cigna Health and Life Insurance Company is seeking a Billing & Reimbursement Senior Representative in Whitestown, Indiana. This role is primarily remote with occasional in-person training in Whitestown.

You will review and prepare claims, ensure billing accuracy, and pursue reimbursement from payors and patients. The ideal candidate has a high school diploma, healthcare billing experience, strong communication skills, and the ability to manage multiple deadlines while handling confidential

Qualifications

• Must have a high school diploma or GED.
• Experience in healthcare, insurance, or pharmacy billing is preferred.
• Strong written and verbal communication skills and ability to manage multiple deadlines.

Responsibilities

• Prepares and reviews claims to ensure billing accuracy according to payer requirements.
• Pursues collection activities to obtain reimbursement from patients and/or payors.
• Contacts payors for overrides, retro authorizations, or necessary documentation to secure payment.
• Frequent follow-up with payers and/or patients on outstanding accounts.
• Responds to billing inquiries and questions related to patient accounts.
• Assists with special projects as needed.

Skills

Communication

Attention to detail

Critical thinking

Team player

Education

High school diploma or GED

Tools

Microsoft Outlook

Excel

Word

Job description

Billing & Reimbursement Senior Representative - Whitestown, Indiana, USA# The Cigna Group Careers## Billing & Reimbursement Senior Representative - Whitestown, Indiana, USAApply: Remote: Indiana Work at Home: Full time: Posted Today: 26013743**POSITION SUMMARY:*** Must be located within driving distance of the Whitestown, Indiana office as this position is mainly remote/work from home, but attendance for training and meetings **in-person** as necessary is required.* Must be able to work Monday - Friday for an 8-hour shift with flexibility to start workday between 6am - 9am EST. Join our team our Accounts Receivable team that supports our Specialty Pharmacy - Accredo, as a **Billing & Reimbursement Representative**. In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect payment on outstanding claims in pursuit of reducing the company's accounts receivable. The qualified candidate must have a complete understanding of the billing and collection processes and require little supervision for routine work. **ESSENTIAL FUNCTIONS:*** Prepares and reviews claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations* Pursues collection activities to obtain reimbursement from patients and/or payors* Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial)* Frequent follow up with payers and/or patients on outstanding accounts* Responds to billing inquiries and questions relating to patient accounts* Helps with special projects when needed **QUALIFICATIONS:*** Must be local to Whitestown, Indiana & willing and able to come onsite as needed for training and meetings* Must be able to work an 8 hour shift Monday - Friday with flexibility to start workday between 6am - 9am EST* High school diploma or GED required* Experience and knowledge in healthcare, insurance, or pharmacy industry highly preferred* Collections, billing, reimbursement, payment processing experience a plus* PC Skills including Microsoft Outlook, Excel, Word* Strong written & verbal communication skills* Strong critical thinking & investigative skills* Detail oriented and strong organizational skills* Self-starter and team player* Focus on quality and service* Demonstrated ability to meet multiple deadlines and manage a heavy workload* Integrity to handle sensitive or confidential information is critical 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.