Billing/Account Services Senior Associate - Cigna at Cigna in Nashville, Tennessee

Job Description:

POSITION IS LOCATED IN NASHVILLE, TN

The Billing/Account Services Senior Associate provides financial related support for banking and/or billing related functions to new and/or existing accounts. Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts. Researches problems and negotiates with internal/external customers, banks, vendors, and/or partners to resolve moderately complex issues. Creates, analyzes, and responds to standard and/or non-standard reports. Bills and/or collects outstanding/delinquent payments or issues payments. Researches and identifies trends and develops and implements methods to improve results. May support larger markets and/or National Accounts.

Primary responsibilities:

• Subject matter expert that provides direction and guidance regarding policies, procedures, workflows, service quality, and training needs to Accounts Receivables Account Reps.
  
  


• Providing excellent Customer Service via incoming and outgoing phone/e-mail communications within the pre-determined time frame.
  
  


• Effectively lead and facilitate huddles as needed
  
  


• Assist management in the execution of the functional leadership strategy
  
  


• Proactively identify, lead and support projects that drive improvements and eliminate risk within the organization
  
  


• Participate in any work groups and testing as assigned.
  
  


• Provides insight to others by offering help, advice, and assistance based on own expertise and experience
  
  


• Support and act on all department and organizational initiatives.
  
  


• Support team members in critical month end activities by coaching, supporting, and stepping in to help remove barriers
  
  


• Process Monthly Invoice Billing and Reconciliation
  
  


• Bank of America Payment Posting
  
  


• Reconcile Bank of America lockboxes
  
  


• Accurately and timely post the auto and manual premium payments received from the bank lockboxes
  
  


• Process Social Security Administration and Account Clearing House monthly payments
  
  


• Resolve Escalated Call Trackers
  
  


• Meet or exceed all departmental metrics/targets
  
  


• Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Reports and Other reports directed by management making appropriate decisions on accounts to be worked to maximize reimbursement
  
  

Qualifications:

• Requires general understanding of accounting and business processes and a commitment and focus to superior customer service and satisfaction.
  
  


• The successful incumbent should have good PC, computer systems, data entry, data base and word processing knowledge as well as refined communication skills for identifying and resolving customer problems.
  
  


• Position requires professional level written and verbal communication skills. Organizational ability for coordination of customer service activity and analytical skills to resolve administrative questions. Mathematical skills for understanding rates, billing and reconciliation process. Strong customer satisfaction focus.
  
  


• This knowledge prepares the successful incumbent to perform a variety of account management tasks and successfully analyze/resolve problems regarding eligibility in CIGNA's Medicare Advantage plans.
  
  


• Knowledge of CIGNA's Medicare Advantage products, CMS regulations is helpful.
  
  


• Ability to identify appropriate matrix partners/areas that need to be involved in implementation and maintenance.
  
  


• Knowledge/understanding of the interrelationships between CIGNA matrix partners.
  
  


• Ability to balance CIGNA HealthCare priorities with customer priorities to achieve a successful customer relationship.
  
  


• Acts as a resource to Sales and other downstream areas for decisions effecting member maintenance.
  
  

You are the Right Person if you have:

• 
  High School Diploma or equivalent required
  
  


• 
  2 or more years' work experience required
  
  


• 
  Prior experience with Medicare and/or Medicare Advantage, required
  
  


• Prior experience with Medicare Part D, preferred
  
  


• Prior experience with CMS audits, preferred
  
  


• Familiar with Medicare Advantage Prescription Drug Plan and Prescription Drug Plan regulations
  
  


• Strong knowledge of accounts receivable and accounting principles
  
  


• 
  High level computer literacy including Excel required
  
  


• 
  Experience with QNX a PLUS
  
  


• Good knowledge of healthcare regulatory standards and compliance requirements
  
  


• Strong analytical and interpersonal skills with the ability to interact with co-workers and senior level clients.
  
  

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.