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Role Description

The Revenue Account Specialist is responsible for managing all billing aspects for a complex or larger volume book of business of ~300, including Over/Under 3000, Exchange, and National Accounts. This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience.

• Own the end-to-end billing relationship at the Exchange or TPA level for multiple clients.
• Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk.
• Act as a subject matter expert on 2+ Revenue Management processes.
• Successful implementation of new and renewing clients.

Primary Responsibilities

• Manage the end-to-end billing relationship at the Exchange, broker, client, or TPA level for all items related to the medical, dental, vision, and pharmacy invoice.
• Work with client/third party vendors on the billing installation and ongoing processes to improve the client experience and reduce financial risk.
• Identify and solve for areas of opportunity/trends at the Exchange, broker, or TPA level.
• Conduct and lead client, Exchange, TPA walkthrough calls to explain standard process and discuss any non-standards.
• Attend strategy and new client calls with the assigned Revenue Account Specialist to ensure new clients are implemented successfully.
• Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission errors, etc.).
• Allocate premiums in the Cigna Accounts Receivable Billing System (CARBS) webtool system for onshore and complex accounts.
• Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation).
• Act as a resource to the Revenue Account Specialist on escalated complex issues.
• Partner and train the offshore Global Service Partners to improve the client experience and reduce financial risk.
• Communicate via telephone and email to delinquent clients in order to drive collection of outstanding premiums following the standard delinquency process.
• Recommend reserve amounts/accruals to finance on a monthly basis and attend monthly call with Accounting.
• Develop and create custom reporting for clients per PBAB approval.
• Update reporting timely and accurately.
• Drive changes in client behavior to achieve Cigna's financial results.

Qualifications

• High school diploma or GED; Bachelor’s degree preferred.
• 3+ years’ experience performing within the Revenue Management Billing team with proven successful results.
• Demonstrated knowledge of CARBS, Web reconciliation tool, Cognos, ePro, Vista, and CED systems.
• Proficient using MS Office; specifically Excel (i.e., pivot tables, v-lookups, various formulas).
• Analytical skills and ability to effectively problem-solve issues to resolution.
• Strong customer-centric focus and ability to work directly with point of contact in a client-facing role.
• Ability to establish strong matrix partner relationships and follow through on expectations.
• Demonstrated ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work.
• Ability to demonstrate increased awareness on account specific barriers impacting deliverables geared at influencing positive change.
• Support or realign focus designed to meet or exceed customer expectations.
• Ability to manage multiple and divergent priorities and deadlines.
• Work independently and proactively while offering support to peers.
• Advanced proficiency with multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems).
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization.
• Demonstrates ability to manage all communication timely and professionally.
• Leadership and motivational skills to successfully navigate within a fast-paced environment.
• Demonstrates interpersonal skills.
• Ability to manage multiple competing demands to include effective time management and organization skills.

Requirements

• 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 24 - 40 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.

Benefits

• Comprehensive range of benefits with a focus on supporting your whole health.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) and company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.

Company Description

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.