• The ability to work all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. • Depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction.

Role Description This position is an opportunity to become directly involved in the daily operations of the Accounts Receivables department within Treasury Operations. This position requires negotiation skills, excellent oral and written ability, and the aptitude to research payment and reimbursement issues in a fast-paced environment. - Independently manage and collect high volume claims ARs from providers of approximately $25 million annually, while maintaining positive relationships. - Review and analyze aged trial balance monthly for collection activity; initiate dunning letters and telephone contact with providers for past due issues. - Set up and monitor budget arrangements with providers. - Address provider appeals through research and coordination with internal business partners. - Set up manual ARs as required for claim and non-claim receivables. - Utilize systems to expedite recovery through offset deduction process or transfer of funds. - Refer accounts to outside collection agency as appropriate. Qualifications - Excellent oral and written communication skills; proven ability to work well under pressure and communicate clearly with internal and external parties and with all levels within the organization. - Negotiation skills. - High degree of initiative; team player. - High degree of professionalism; ability to effectively interact with all levels of an organization. - Demonstrated ability to independently prioritize and organize a high volume of accounts and varied functions. - Minimum of three years experience in a customer/provider services environment or three years of patient accounting experience in a hospital or professional practice is highly desirable. - Knowledge of claims operations systems (NASCO, Blue Card, FEP, ITS) is also desired. - Proficiency in Microsoft Excel and Word applications required; exposure to MS Access databases is desirable. Requirements - BA/BS preferred or 3-5 years relevant work experience. - Excellent verbal and communication skills are required. - Note: a writing sample will be required as part of the interview process. Benefits - Comprehensive package of benefits including paid time off. - Medical/dental/vision insurance. - 401(k). - Suite of well-being benefits to eligible employees.

• Review and resolve unpaid accounts to ensure timely and accurate reimbursement. • Help reduce aged AR balances while meeting productivity goals. • Verify payer information, review EOBs, and correct account issues. • Document all account activity clearly and accurately. • Identify and report trends, errors or concerns. • Complete tasks and escalations within required deadlines. • Stay updated on payer changes and share relevant information. • Attend required virtual meetings with camera on. • Other projects and duties as assigned.

Role Description The Accounts Receivable Manager (Provider Relations Lead Analyst) is responsible for account receivable activity for a specific Provider Book of Business tied to an account management team. They will be a key partner to the Provider Relations Executive supporting strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Providers in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Regularly meets with assigned Health Care Providers to discuss results, review issue trends, and develop action plans for improvement. Engages matrix partners to achieve service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues and trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and late payment interest to minimize financial impacts. Responsibilities - Serves as a key member of the account management team responsible for Accounts Receivable Management. - Collaborates with Accounts Receivable Manager and matrix partners to identify, resolve and improve Accounts Receivable issues. - Key contributor to the development of the provider strategic plan for an aligned book of business. - Proactively monitors account receivable, performance guarantees and other accounts receivable related issues and communicates results to Accounts Receivable Manager. - Drives root cause analysis, trending related to accounts receivable resolution. - Interacts directly with provider to understand, educate, communicate and resolve accounts receivable issues. - Participates in face to face meetings with Accounts Receivable Manager as needed to act as an accounts receivable Subject Matter Expert. - Manages accounts receivable issues/corrective action plans. - Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause. - Supports service experience review process for specific book of business as defined by the Service Experience Review strategy. - Contributes to market intelligence, documenting and sharing. - Achieves and or exceeds Service Level Agreements. - Responsible for all pre/post contract set up review for assigned book of business. - Responsible for tracking and trending all accounts receivable related issues timely and accurately in appropriate tools. - Ability to read and understand data results. Qualifications - Bachelor’s degree or higher strongly preferred. - 3+ years of experience in claims administration highly preferred. - Advanced knowledge of Proclaim or Facets required (PMHS preferred). - Proficient in Excel and PowerPoint. - Access knowledge helpful. - Experience with provider contracting or loading. - Demonstrated ability to successfully interact with both internal and external customers at all levels. - Demonstrated ability to perform root cause analysis on claims issues. - Demonstrated ability to manage and resolve problems to satisfactory completion. - Project management skills to include time management, task analysis and breakdown and resource utilization. - Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider. - Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction. - Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider. - Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes. - Some travel may be required. - 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. Requirements - For this position, we anticipate offering an annual salary of 66,600 - 111,000 USD / yearly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan. Benefits - Comprehensive range of benefits with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment. - 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.