Enrollment/Billing Representative

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.

• 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 Lead 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

• Must be able to work an 8 hour shift Monday - Friday between 7:30am - 5:30pm CST
• HS diploma or GED required
• 2+ years' relevant work experience - healthcare or insurance industry highly preferred
• Healthcare, insurance, pharmacy knowledge highly preferred
• Rx Home experience a plus
• 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

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 17.75 - 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.

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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.