Job Details
Enrollment/Billing Representative
Cigna · Remote, IN
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About the Job
- Please note: This is mainly a remote/work at home position but the candidate selected must be within driving distance to Whitestown, Indiana as it will require several days in office per quarter to be on-site in the Whitestown, Indiana office.
- The schedule is Monday - Friday, 8:00am - 4:30pm EST.
ESSENTIAL FUNCTIONS
- Prepare and review claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations.
- Pursue collection activities to obtain reimbursement from payors and/or patients.
- Contact payors to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
- Make 10-20 outbound calls daily, as needed.
- Frequent follow up with payers and/or patients on outstanding accounts.
- Respond to billing inquiries and questions relating to patient accounts.
- Frequently use phone/email/portal communications with patients and payors.
QUALIFICATIONS
- Must be local to Whitestown, Indiana & willing and able to come onsite as needed for training and meetings
- Must be able to work an 8 hour shift Monday - Friday from 8:00am - 4:30pm EST
- High school diploma or GED required
- Customer service experience; healthcare/insurance/pharmacy industry preferred
- Patient billing and collections experience preferred
- Rx Home, CSP, Blue Zone experience a plus
- PC Skills including Microsoft Outlook, Excel, Word and Teams
- Strong written & verbal communication skills
- Detail oriented and strong organizational skills
- Self-starter and team player; willingness to learn
- 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.