Job Description:

• Manage an assigned portfolio of complex client accounts
• Perform collections processes and procedures
• Research and respond to billing or payment inquiries within established turnaround times; escalate issues as needed
• Reconcile accounts receivable with third-party administrators, brokers, and clients
• Facilitate conference calls or meetings with internal and external parties
• Research member eligibility and rate variances
• Analyze client data using reports and other resources
• Process group renewals, new business, terms, and revisions
• Reconcile accounts periodically
• Calculate and create special charge bills
• Monitor delinquency reports and communicate with TPA partners
• Perform peer audits to ensure quality and mitigate financial risk or exposure
• Achieve or exceed daily goals, quality goals, and individual development goals
• Track and monitor customers’ financial performance using appropriate tools
• Resolve customer disputes and rate issues with matrix partners
• Identify and implement high-potential process improvements with matrix organizations
• Apply accounting concepts
• Prepare monthly and ad hoc reports
• Provide internal and external customer service
• Process, review, and understand inputs from multiple systems
• Support special projects
• Perform electronic invoicing
• Apply financial payments to accounting systems
• Perform filing and general administrative duties
• Provide cash-team support, including cash and census application, mailings, filing, and electronic invoicing
• Understand relationships between CIGNA HealthCare matrix partners and customer-service deliverables

Requirements:

• High School Degree or equivalent is required; Bachelor’s degree preferred
• 3+ years work experience in billing, accounting, or collections role
• Proficient in 10 keys
• Strong knowledge of Excel
• Genasys, SAP, PCRS system knowledge preferred, or quick learner of new applications and systems
• Analytical, attention-to-detail, and quality-oriented
• Knowledge of MS applications
• Ability to demonstrate solid problem solving skills
• Demonstrate ability to manage time and prioritize appropriately
• Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients
• Ability to multi-task and shift priorities
• Understanding of customer expectations and sense of urgency
• Ability to work independently and proactively
• Strong verbal/written communication and organizational skills
• Leadership and motivational skills in a fast-paced environment
• Strong interpersonal skills
• If working at home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload is required

Benefits:

• Annual bonus plan eligibility
• Medical, vision, and dental benefits
• Well-being and behavioral health programs
• 401(k)
• Company-paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays
• Leaves of absence
• Cable broadband or fiber optic internet requirement for home working