Enrollment/Billing Representative - Remote (Finance)

Revenue Cycling Management (RCM) Collections Representative - Evernorth Finance - Enrollment/Billing Representative

We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can effectively manage multiple priorities with strong outcomes. You always keep your goals in mind and have an easy time working with all different types of people.

We also know you are looking for an opportunity that challenges your business acumen, and helps your career thrive.Let us tell you a little more. We're passionate and we care about what we do -being there when our customers, colleagues, partners, and communities need us most. We are a company that supports whole-person health, provides career advancement opportunities, and offers a rich benefit package.

What you will do:

• As a member of the Evernorth Finance team, you will edit, bill, and collect payment on complex and unique outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance.
• Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward our growth strategy.
• To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role.
• You will communicate opportunities for best practices based on issues identified.

Collections -

• Investigate reasons for unpaid balances from insurance companies
• Troubleshoot both internal & external issues and insurance denials
• Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements
• Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts

What you need to do the job:

• Ability to work Monday - Friday 8am to 4:30pm EST
• High School diploma or GED is required
• Associate's degree or equivalent work experience strongly preferred
• Professional experience in healthcare collections is highly preferred
• Accounts receivable background preferred
• Proficient in Microsoft Office with working knowledge of Microsoft Excel
• RX Home experience highly preferred
• Self-motivated and goal-oriented
• Independent and proactive problem-solving skills
• Ability to manage multiple priorities
• Solid written and verbal communication skills
• Strong research and analytical skills
• Team player with a positive attitude
• Detail oriented
• Solid organizational skills
• Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment

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 17.75 - 25 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group .

About The Cigna Group

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.

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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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.