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, ...
- Rate: Not Specified
- Location: Orlando, US-FL
- Type: Permanent
- Industry: Finance
- Recruiter: Cigna
- Contact: Recruiter Name
- Email: to view click here
- Reference: 25000584
- Posted: 2025-04-24 08:59:35 -
- View all Jobs from Cigna
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