Accounts Receivable Manager
C
Cigna HealthcareHealthcare claims
United States, East Coast hoursFull-TimeManager
SalaryAnnual salary of 66,600 - 111,000 USD / yearly
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Job Details
- Experience
- 3+ years of experience in benefits and claims administration; 3+ years of relationship management and project management experience
- Required Skills
- Project ManagementMicrosoft ExcelPowerPointRelationship management
Requirements
- Have a bachelor's degree or higher, strongly preferred, or equivalent work experience.
- Have 3+ years of experience in benefits and claims administration.
- Have 3+ years of relationship management and project management experience.
- Bring advanced knowledge of Cigna claims and supporting systems, including Proclaim, PMHS, and Facets; this is highly preferred.
- Be proficient in Excel and PowerPoint.
- Have experience with provider contracting or loading.
- Demonstrate the ability to perform root cause analysis on claims issues and manage problems through satisfactory resolution.
- Have project management skills, including time management, task analysis and breakdown, and resource utilization.
- Demonstrate facilitation and negotiation skills, including presenting technical information to less knowledgeable audiences.
- Be able to work independently with minimal supervision and handle confrontational situations professionally.
- Be willing to travel as required.
- If working from home occasionally or permanently, have cable broadband or fiber internet with at least 10 Mbps download and 5 Mbps upload.
Responsibilities
- Manage accounts receivable activity for an assigned provider book of business as part of the account management team.
- Collaborate with accounts receivable and matrix partners to identify, resolve, and improve accounts receivable issues.
- Contribute to provider strategic plans for an aligned book of business.
- Monitor accounts receivable, performance guarantees, and related issues, and communicate results to the Accounts Receivable Manager.
- Conduct root cause analysis and trend accounts receivable resolutions and claims issues.
- Work directly with providers to understand, explain, communicate, and resolve accounts receivable issues.
- Manage accounts receivable issues and corrective action plans, recommending service improvements based on root causes.
- Support service experience reviews and contribute market intelligence for the assigned book of business.
- Review pre- and post-contract setup and track accounts receivable issues accurately in the appropriate tools.
- Monitor service level agreements and contractual performance guarantees, including late payment interest.
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