This is a hybrid role that requires on-site presence 3 days/week in the Morris Plains, NJ office.
The key responsibilities include managing the standard billing file documentation, comparing files, addressing billing questions, providing audit data, managing the email boxes. This individual will work with internal and external parties to provide clear concise documentation and answer incoming questions.
Manage the Standard Billing File Documentations:
Make updates to the standard Billing File documentation whenever new fields are added and draft communications for internal partners and clients.
File Comparison:
Work with implementation teams and clients to compare standard files with clients' files.
Assist the account teams on client communications and attend client calls to discuss findings.
Support:
Provide data for audits, internal and external partners, and handle questions on clients' invoices.
Address questions related to fields on the billing files.
Manage Email Box:
Review the FISD (Financial Systems Development Group) and PAL (Post Adjudication Mailbox), review emails daily, send out documentation upon request, track recipients, handle various requests including:
Ad Hoc Queries and Automation
Billing and Payment/Billing (Invoice/Billing Files)
PAL/CDL (Claim Detail Level) & Other File Questions
Other miscellaneous requests
Qualifications:
Must be within driving distance to the Morris Plains, NJ office
Bachelor’s degree in related field or equivalent work experience preferred
3+ years’ experience in healthcare/pharmacy billing, finance and/or project management highly preferred
Previous experience in the PBM Industry a plus
Experience using Microsoft Office applications (Word, Excel, PowerPoint)
Experience using SQL and writing queries a plus
Strong written and verbal communication skills and ability to navigate various audience levels
Excellent attention to detail and organizational skills
Ability to self-motivate, work independently, and sustain performance with minimal supervision
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 Group.
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 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.
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.