Accounts Receivable Analyst - Cigna Healthcare - Remote

As a member of the Provider Solutions and Operations team, this role supports the Service Model through claim problem analysis, root cause identification, and resolution.

This is an internally facing role supporting the Accounts Receivable Management team and the dedicated Gold-tier and Silver-tier participating providers.

Duties and Responsibilities:


* Collaborates with matrix partners to identify, resolve and improve Accounts Receivable issues by utilizing claim knowledge, research and critical thinking skills


* Routinely engages, consults and influences matrix partners to achieve service improvements and minimize contract interpretation


* Drives root cause analysis trending related to accounts receivable resolution


* Leads efforts to research system issues and identify appropriate solutions for the business operations


* Manages escalated issues received through appropriate workflow tools


* Communicates recommendations for changes to improve service as identified through root cause analysis


* Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy


* Understands how contract set up and current business policies and technology will affect claim payment


* Participates in meetings as needed to act as a Claim Subject Matter Expert


* Provides education on AR processes to internal partners


* May participate in or lead special project initiatives


* Achieves and or exceeds Service Level Agreements

Qualifications:


* High school diploma or GED required


* 3+ years of experience in claims administration and claim processing preferred


* Advanced knowledge of Proclaim, Facets and/or other Cigna claim processing systems required


* Intricate knowledge of current claim business practices, policies and procedures, the ability to link that knowledge to the multiple aspects of technology and the output of claim payment with the ability to navigate across business units to identify root cause required


* Proficient in Excel- basic formulas, V lookups, filtering, formatting


* Skills to include time management, task analysis and breakdown and resource utilization


* Understanding of the affect that the end result has on Provider satisfaction


* Demonstrated ability to successfully interact with both internal and external customers at all levels


* Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes


* Demonstrated ability to see the "big picture" and understand how each phase of the claims payment process affects the end result and provider satisfaction

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 23 - ...