Billing & Claims Representative - Accredo - Remote

POSITION SUMMARY

Delivers straightforward administrative and/or other basic business services in Enrollment/Billing.

Provides financial related support for banking and/or billing related functions to new and/or existing accounts.

Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts.

Works with internal/external customers, banks, vendors, and/or partners to resolve issues.

May create, analyze and respond to standard and/or non-standard reports.

Bills and/or collects outstanding/delinquent payments or issues payments.

Audits accounts for compliance.

Supports mid to large markets.

Issues tend to be routine in nature.

Good knowledge and understanding of Enrollment/Billing and business/operating processes and procedures.

Works to clearly defined procedures under close supervision.

ESSENTIAL FUNCTIONS


* Prepares and reviews claims to ensure billing accuracy.


* Pursues collection activities to obtain reimbursement from payers and/or patients.


* Frequent follow up with payers and/or patients on outstanding accounts.


* Escalates delinquent and/or complex claims to Sr.

Billing & Reimbursement Specialists for appropriate action.

QUALIFICATIONS


* High School Diploma or GED Required.


* 2 + years Call Center and Medical Billing & Collections experience preferred.


* PC Skills including Microsoft Outlook, Excel, Word and Internet .


* Detail oriented and strong organizational skills.


* 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.

ABOUT THE DEPARTMENT

Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency.

In addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services.

By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients' lives.

NOTE : We are currently training in a work at home environment, and you will be required to have reliable internet connectivity provided through a wired 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.

Training Hours: 8:00am - 4:30pm M/F

Working Hours: Flex start 7:00am - 9:00am M/F

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.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives.

At The Cigna Group, ...