This is a HYBRID role with 50% on-site expectations. Only local candidates will be considered.
POSITION SUMMARY
This position reports to the MyMatrixx Revenue Cycle Management team. MyMatrixx is our Workers' Compensation Pharmacy Benefit Management solution for clients. Responsible for following standard operating procedures to analyze datasets and resolve complex outstanding claims in pursuit of reducing the company's accounts receivable. Utilizes Excel tools and analytical skills to review and analyze large datasets for trends and issues. Follows through with additional action to resolve identified account issues and prevent future aging receivables. Responsible for training and coordinating with Billing & Reimbursement Specialists who are tasked with billing & collection support activities. Also responsible for claim audits to ensure Billing & Reimbursement Specialists are properly executing tasks.
ESSENTIAL FUNCTIONS
- Review assigned client accounts to identify and analyze root cause behind aged receivables.
- Advanced Excel skills required for analytics.
- Excellent communication skills.
- Ability to adapt in a dynamic work environment and make independent decisions.
- Detail oriented and strong organizational skills.
- Self-starter and team player; Focus on quality and service.
- Demonstrated ability to meet multiple deadlines and manage a heavy workload.
- Integrity to handle sensitive or confidential information is critical.
- Evaluate denied/rejected claims and frame appeals to optimize collection results.
- Coordinate with internal partners in conjunction with or prior to client outreach regarding aged receivables.
- Conduct & lead, or participate in, client walkthrough calls related to receivables and their associated root cause.
- Produce client-required reporting/refunds/ad hoc tasks within the mandated timeframe.
QUALIFICATIONS
- 1+ years experience with Bachelors Degree; 5+ years relevant experience with no degree.
- PC Skills including Microsoft Outlook, Word and Internet.
- Intermediate Microsoft Excel (Pivot Tables/VLOOKUP/Formulas).
- Proven analytical skills when working with large complex data sets.
- Professional, client-facing communication style, acts urgently.
- Prior experience as Workers' Compensation Claims Adjuster is a plus.
ABOUT THE DEPARTMENT
If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. We’re always on the lookout for innovative people who will bring outside-the-box thinking to our team.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
ABOUT EVERNORTH HEALTH SERVICES
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
#J-18808-Ljbffr
