ABOUT THE DEPARTMENT
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives.
ESSENTIAL FUNCTIONS
Prepares and reviews claims to ensure billing accuracy
Pursues collection activities to obtain reimbursement from payers and/or patients
Bills and/or collects outstanding/delinquent payments or issues payments
Frequent follow up with payers and/or patients on outstanding accounts
Escalates delinquent and/or complex claims to Senior Billing & Reimbursement Specialists for appropriate action
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
Works with internal/external customers, banks, vendors, and/or partners to resolve issues
May create, analyze and respond to standard and/or non-standard reports
Audits accounts for compliance
QUALIFICATIONS
Must be able to work an 8 hour shift Monday - Friday with a flexible start time between 7am-9am EST
HS diploma or GED required
2+ years' relevant work experience - billing, claims, payment processing, co-pay assistance a plus
Healthcare, insurance, pharmacy industry/knowledge highly preferred
RX Home and Blue Zone experience highly preferred
PC Skills including Microsoft Outlook, Excel, Word
Detail oriented and strong organizational skills
Strong verbal & written communication 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
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, 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), 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, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.