What are the responsibilities and job description for the (RCM) Senior Collections Representative - Evernorth Band 2 position at Cigna?
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**Work Schedule - Monday thru Friday 8am to 5pm EST or 8am or 4:30pm EST
Revenue Cycling Management (RCM) Senior Collections Representative (Evernorth Finance) Band 2
We know your type. You are driven to make an impact on the business and internally motivated to improve how things are done. You are a quick learner, detail oriented, and can effectively manage multiple priorities with strong outcomes. You always keep your goals in mind and have a pretty easy time working with all different types of people.
We also know you are looking for an opportunity that lets you get your hands dirty, one that challenges your business acumen, and helps your career thrive. It’s nice to meet you too. Read on to learn more about our Enrollment and Billing Senior Representative positions.
Let us tell you a little more. We're passionate and we care about what we do – being there when our customers, colleagues, partners, and communities need us most. We are a company that offers a rich benefit package, supports whole-person health, and provides career advancement opportunities.
What you will do:
As a member of the Evernorth Finance team, you will edit, bill, and collect payment on complex and unique outstanding claims with a goal of positively impacting the company's revenue and accounts receivable balance. Enabled by a robust training curriculum, clear policies, and team support, you will contribute toward the important functions of billing and collections and contributing toward our growth strategy. To achieve our collective success, a working knowledge of the billing and collection processes and accountability for quantity and quality metrics are key expectations of the role. Beyond your core responsibilities, you are expected to embrace a high performance culture through teamwork, personal development, accountability, and involvement in special committees/projects. As a Senior Representative you may support larger and more complex accounts, research and identify accounts receivable trends, implement tactics to improve collections and communicate opportunities for best practices based on issues identified. You will work without immediate supervision, but will have ready access to guidance from experienced team members.
Collections – Works complex collections issues to understand root cause of non-payment, focusing on steps necessary to resolve denial and secure payment. Investigates reasons for unpaid balances from insurance companies. Troubleshoots both internal, external issues that result in collections efforts. Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements. Identify payor issues/trends, develop and implement processes to improve results, and resolve non-routine issues escalated from less experienced team members. Works special payor projects as necessary when challenges arise that need to be addressed in the aggregate. Helps ensure all collection efforts are exhausted before adjustments are recommended. Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts. Serves as a mentor for new hires on tasks associated with role.
What you need to do the job:
- High School Diploma or GED is required
- Associates Degree or equivalent work experience strongly preferred
- Professional experience in collections is REQUIRED
- Professional experience in HEALTHCARE COLLECTIONS IS HIGHLY PREFERRED.
- Accounts receivable background preferred
- Self-motivated and goal-oriented
- Independent and proactive problem-solving skills
- Ability to manage multiple priorities
- Solid written and verbal communication skills
- Strong research and analytical skills
- Team player with a positive attitude
- Detail oriented
- Solid organizational skills
- Proficient in Microsoft Office with working knowledge of Microsoft Excel
- Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment
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.For this position, we anticipate offering an hourly rate of 17 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
