[Remote] Enrollment/ Billing Senior Analyst - Evernorth Health Services - Remote

Note: The job is a remote job and is open to candidates in USA. Evernorth Health Services, a division of The Cigna Group, is seeking an Enrollment/Billing Senior Representative to provide billing and collections support for new and existing accounts. The role involves managing a portfolio of complex client accounts, performing collections processes, and ensuring accurate financial reporting and customer service.

Responsibilities

• Manage assigned portfolio of complex client accounts
• Perform tasks related to collections processes and procedures
• Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed
• Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
• Facilitates conference calls or meetings with internal and external parties
• Extensive research related to member eligibility and rate variances
• Analyze client data utilizing various reports and resources
• Process group renewals, new business, terms and revisions
• Account reconciliation on a periodic basis
• Calculate and create special charge bills as needed
• Monitor delinquency reports and send communication to TPA partners
• Peer audit process to ensure quality and mitigate financial risk or exposure
• Responsible for achieving or exceeding daily goals, quality goals, and individual development
• Ensures appropriate use of tools to track and monitor the financial performance of customers
• Work with matrix partners to resolve customer disputes and rate issues
• Partners with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements
• Understand and use accounting concepts
• Prepare monthly and other requested ad hoc reporting
• Provide both internal and external customer service
• Process, review and understand multiple systems inputs
• Special project support as needed
• Electronic Invoicing
• Application of financial payments to accounting systems
• Filing and other general administrative duties
• Account reconciliation on a periodic basis
• Knowledge/understanding of the interrelationships between CIGNA HealthCare matrix partners
• Understanding of customer service deliverables (policies, cutoff dates, billing) and their impact on timing and results

Skills

• High School Diploma or equivalent experience is required; Bachelor's degree preferred
• 3+ years work experience in billing, accounting, or collections role
• Proficient in 10 keys
• Strong knowledge of Excel
• Analytical, attention-to-detail, and quality-oriented
• Knowledge of MicroSoft 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
• Demonstrate strength and understanding of customer expectations and 'sense of urgency' resulting in the ability to influence the organization to meet and exceed customer expectations
• Ability to work independently and pro-actively
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization
• Demonstrate leadership and motivational skills in fast-paced environment
• Strong interpersonal skills
• Genasys, SAP, PCRS system knowledge preferred, or quick learner of new applications and systems

Benefits

• This role is also anticipated to be eligible to participate in an annual bonus plan.
• 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

Company Overview