Enrollment/Billing Senior Representative - Accredo - Remote

The Cigna Group; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company is seeking an Enrollment/Billing Senior Representative to join their Reimbursement team. This position focuses on editing, billing, and collecting payments on complex claims, with ample opportunities for professional growth. Applicants should possess strong communication and analytical skills, along with relevant experience in healthcare or pharmacy benefit management.

Benefits

Comprehensive health benefits starting day one

401(k) with company match

Tuition reimbursement

Paid time off and holidays

Qualifications

• Healthcare or PBM experience required.
• Accounts receivable background preferred.
• Must be detail-oriented and organized.

Responsibilities

• Edit, bill, and collect payment on complex claims.
• Investigate reasons for unpaid balances from insurance.
• Work independently with access to experienced team support.

Skills

Self-motivated

Goal-oriented

Independent problem-solving

Detail oriented

Strong research skills

Organizational skills

Team player

Communications skills

Education

High School Diploma

Associates degree or equivalent work experience

Tools

Microsoft Office

Microsoft Excel

Job description

The job profile for this position is Enrollment/Billing Senior Representative, which is a Band 2 Professional Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can effectively manage multiple priorities with strong outcomes. You always keep your goals in mind and have a pretty easy-peasy time working with all different types of people.

We also know you are looking for an opportunity that lets you get your hands dirty, one that challenges your business acumen, and helps your career thrive. It’s nice to meet you too. Read on to learn more about our Enrollment and Billing Senior Representative positions.

Let us tell you a little more. We are a Specialty Pharmacy that serves patients with complex and chronic health conditions. We are dedicated to helping patients improve their health, well-being and sense of security. We are a company that offers a rich benefit package, supports whole-person health, and provides career advancement opportunities.

What you will do:

As a member of Accredo’s Reimbursement team, you will edit, bill, and collect payment on complex and unique outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance. Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward Cigna’s growth strategy. To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role. Beyond your core responsibilities, you are expected to embrace a high performance culture through teamwork, personal development, accountability, and involvement in special committees/projects. As a Senior Representative you may support larger and more complex accounts, research and identify accounts receivable trends, implement tactics to improve collections and communicate opportunities for best practices based on issues identified. You will work without immediate supervision, but will have ready access to guidance from experienced team members.

Collections - Investigate reason for unpaid balances from insurance companies; troubleshoot both internal, external issues and insurance complex denials. Work independently to research and resolve the unpaid balance while following Accredo policies as well as the insurance company requirements. Identifies trends, develops and implements processes to improve results. Resolves non-routine issues escalated from less experienced team members. Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts.

What you need to do the job:

• High School Diploma required; Associates degree or equivalent work experience strongly preferred
• Healthcare or PBM experience required
• Accounts receivable background preferred
• Self-motivated and goal-oriented
• Independent and proactive problem-solving skills
• Ability to manage multiple priorities
• Solid written and verbal communication skills
• Strong research and analytical skills
• Team player with a positive attitude
• Detail oriented and solid organizational skills
• Proficient in Microsoft Office with working knowledge of Microsoft Excel
• Strong understanding of computer programs and hardware used for set up in a virtual environment
• Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment

NOTE: We are training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired Ethernet connection. A mobile or hot spot environment is not acceptable and you may need to purchase an Ethernet cord depending on your current set up.

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.For this position, we anticipate offering an hourly rate of 19 - 29 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.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.