Doing something meaningful starts with a simple decision, a commitment to changing lives. 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.
Accounts Receivable Manager – Provider Relations Lead Analyst
Location
United States
Posted
23 days ago
Salary
$66.6K - $111K / year
Job Description
Job Requirements
- Bachelor's degree or higher strongly preferred or equivalent work experience required
- 3+ years of experience in benefits and claims administration required
- Advanced knowledge of Cigna claims (administration/processing/research) required
- Strong experience using Proclaim required
- Facets experience is preferred
- Experience using Excel is required (basic skills)
- Account management experience is required
- Experience working with providers is required
- Relationship management and/or project management experience highly preferred
- Access knowledge helpful
- Experience with provider contracting or loading preferred
- 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 present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider.
- Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
- Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider.
- Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
- Limited travel may be required (up to 10%)
Benefits
- comprehensive range of benefits
- health-related benefits including medical, vision, dental
- well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
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