Collections/Billing Representative
Location
United States
Posted
64 days ago
Salary
$18 - $26 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Collections/Billing Representative
The Cigna Group
Role Description 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. You will communicate opportunities for best practices based on issues identified. Collections - Investigate reasons for unpaid balances from insurance companies - Bill and/or collect outstanding/delinquent payments or issue payments - Research and identify trends and develop and implement methods to improve results - Troubleshoot both internal & external issues and insurance denials - Work independently to research and resolve the unpaid balance while following Evernorth policies as well as the insurance company requirements - Collaborate effectively with internal business partners as well as external payers to drive timely and accurate collections of invoiced amounts Qualifications - High school diploma or GED required; Associate’s degree or equivalent work experience strongly preferred - Professional experience in healthcare collections highly preferred - Accounts receivable background preferred - Proficient in Microsoft Office with working knowledge of Microsoft Excel - RX Home experience highly 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 - Must meet work at home company requirements, and have a strong ability to stay engaged in a virtual environment Requirements - Ability to work Monday - Friday 8:00am to 4:30pm EST - 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. Benefits - Hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location - Eligible to participate in an annual bonus plan - Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs - 401(k) - Company paid life insurance - Tuition reimbursement - A minimum of 18 days of paid time off per year and paid holidays Company Description 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.
Related Guides
Related Categories
Related Job Pages
More Collections Jobs
Role Description The Revenue Cycle Specialist works under the supervision of the Manager of Revenue Cycle and will perform a variety of tasks to support all insurance revenue cycle activities and cash goals. They will primarily perform insurance billing operations, working towards collection goals and maintaining KPIs within the billing system. This position will also work support queues, demonstrating exceptional customer support to our Partners assisting patients with insurance eligibility and claim inquiries. - Serve as an insurance billing subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management (RCM) within a telehealth setting. - Perform RCM functions as assigned/queued (including, but not limited to: Eligibility Verification, Charge Entry, Claim Submission, Payment Posting, Collections and Credits, Support ticket maintenance, and Denied/Rejected claims). - Identifies and resolves issues affecting revenue reimbursement from Payers and/or patients. - Identifies problem areas and trends encountered while working with any team or department and communicates findings to management. - Adapts quickly to changes in assignments to maximize financial impact. - Identify opportunities that will provide a significant contribution to reducing A/R and increasing revenue. - Remains proficient in the use of specific applications related to revenue cycle management, i.e. billing systems, EMRs, internal portals, team communication tools, clearing houses, credit card system, bank transactions, patient communication platform, etc. - Other duties as assigned. Qualifications - 2+ years of experience verifying insurance eligibility, creating, submitting and posting of professional claims within a healthcare setting. - Demonstrate an understanding of NPI, taxonomy, and electronic claim submission requirements. - Strong knowledge of CPT, HCPC, and ICD10 codes, as well as HIPAA regulations. - Preferred experience working in Candid, or billing system implementation/configuration equivalent. - Preferred experience working with 270/271 X12 files (real time eligibility). - In-depth understanding of insurance A/R, with ability to read and interpret ERA/EOB/EOPs. Requirements - Intermediate knowledge of revenue cycle processes and best practices. - Knowledge of insurance coverage guidelines. - Ability to prioritize work and manage time efficiently. - Self-motivated, able to work autonomously, multi-task and switch focus quickly. - Strong organizational skills and attention to detail. - Ability to meet deadlines. - Ability to apply good judgment and expertise. - Excellent written and verbal communication skills. - Excellent Customer Service skills.
• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. • Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. • Researches each account using company patient accounting applications and internet resources. • Conduct appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. • Problem solves issues and creates resolution that will bring in revenue eliminating re-work. • Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. • Requests additional information from patients, medical records, and other needed documentation upon request from payors. • Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. • Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. • Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. • Performs special projects and other duties as needed.
Role Description The Collections Specialist is responsible for: - Collecting large account receivables - Investigating credit issues - Preparing and maintaining reports and customer files - Recommending accounts slated for collection agencies or to be placed on hold - Preparing accounts receivable adjustments This is a work from home position. Qualifications - Bilingual French / English (written and spoken) - required Benefits - Health and Safety is our #1 priority, and we live it 3-6-5! - Competitive wages: Starting at $24/hr - Work schedule: Remote, Full-time - Monday to Friday 8:30 - 5pm (40 hrs) - Focus on maintaining sustainability - Comprehensive health benefits coverage after 30 days of full-time employment - RRSP with company matching - Opportunities for growth and development for all stages of your career - Company paid training and tuition reimbursement Company Description
Gestor de Retención y Cobranza
SiigoEn Siigo impulsamos el crecimiento de las pymes, democratizando nuestras soluciones tecnológicas.
• Realizas la renovación de los clientes que se te asignen a través de los skills, asegurando la debida gestión, tipificación y seguimiento. • Recibes llamadas de los clientes a través de los distintos canales de atención con el objetivo de identificar por qué no ha renovado su producto y lograr la recuperación del saldo pendiente. • Contactas a los clientes que no han generado la renovación de su factura e identificas el motivo por el cual no lo han realizado, logrando el recaudo. • Garantizas la documentación de todas las interacciones.
