Accounts Receivable Manager – Provider Relations Lead Analyst
Accounts ReceivableAccounts ReceivableFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn
Location
United States
Posted
27 days ago
Salary
$66.6K - $111K / year
Seniority
Senior
Bachelor Degree3 yrs expEnglish
Job Description
• responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business tied to an account management team
• be a key partner to the experience manager supporting strategic planning to improve provider experience
• ensure timely and accurate claims administration
• proactively monitor results and leverage resources and tools to assist Health Care Professionals in managing their accounts receivables
• provide direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs
• regularly meet with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement
• engage matrix partners to achieve service improvements and minimize contract interpretation issues
• communicate and educate internally regarding issues/trends to minimize errors and improve claim accuracy
• monitor contractual performance guarantees and LPI to minimize financial impacts
Job Requirements
- Bachelor's degree or higher strongly preferred or equivalent work experience required
- 3+ years of experience in benefits and claims administration required
- Advanced knowledge of Cigna claims (administration/processing/research) required
- Strong experience using Proclaim required
- Facets experience is preferred
- Experience using Excel is required (basic skills)
- Account management experience is required
- Experience working with providers is required
- Relationship management and/or project management experience highly preferred
- Access knowledge helpful
- Experience with provider contracting or loading preferred
- Demonstrated ability to successfully interact with both internal and external customers at all levels
- Demonstrated ability to perform root cause analysis on claims issues.
- Demonstrated ability to manage and resolve problems to satisfactory completion
- Project management skills to include time management, task analysis and breakdown and resource utilization
- Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider.
- Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction.
- Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider.
- Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes.
- Limited travel may be required (up to 10%)
Benefits
- comprehensive range of benefits
- health-related benefits including medical, vision, dental
- well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
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