Provider Relations Lead Analyst - Payroll Title
Serves as a key member of the account management team responsible for AR Management
Collaborate with experience manager and matrix partners to identify, resolve and improve AR issues
Key contributor to the development of the HCP strategic plan for an aligned BOB
Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
Drives root cause analysis, trending related to AR resolution
Interacts directly with HCP to understand, educate, communicate and resolve AR issues
Participates in face-to-face meetings with EM as needed to act as an AR SME
Manages AR issue action plans
Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause analysis
Supports service intent review process for specific BOB as defined by the SIR strategy
Contributes to market intelligence, documenting and sharing
Achieves and exceeds Service Level Agreements
Responsible for all pre/post contract set up review for assigned Book of Business (BOB)
Responsible for tracking and trending all AR related issues
QUALIFICATIONS
Bachelor's degree or higher strongly preferred or equivalent work experience required
5+ years' experience in benefits and claims administration and/or relationship or project management experienceAdvanced knowledge of Cigna claims and supporting systems to include Proclaim ( required ), Facets (highly preferred) and PMHS (preferred)
Excel required - to include pivot tables and VLOOKUP experience preferred
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
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 annual salary of 66,600 - 111,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), 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, click here ( .
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
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.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
...Join Our Team as a Work-From-Home Data Entry Research Panelist! Are you ready to earn money from the comfort of your own home? This exciting opportunity is perfect for anyone with a variety of skills and backgrounds whether youve been an administrative...
...expanding access to high-quality mental-health and wellness services... ...with adult day care centers, nursing homes, medical practices,... ...compassionate, evidence-based psychiatric care. We areseeking a... ...Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide...
...of machine control equipment. Project scope varies by project but may include heavy civil works, plant site facilities, and pipeline construction. KEY RESPONSIBILITIES Field Surveyors usually work as a single person crew and are required to self-manage their duties...
...Intern - Molecular Sciences Location: San Diego, CA Internship Dates: Early June - Mid - August (flexible start/end dates) Department: Molecular Sciences About Neomorph: Neomorph is a science-driven biotechnology company focused on advancing targeted...
...Enlist as a Soldier into the United States Army and as a Civil Affairs Specialist (38B), youll be the link between the Army and local civilians around the world. You will identify what critical resources local citizens may need during missions or in crisis situations...