Accounts Receivable Manager - Mid Atlantic - Cigna Healthcare - Remote

** Candidates who reside within 50 miles of the following locations may be asked to work in person three days per week:
Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.*
* ** Due to the Book of Business, we are looking to hire someone who is able to support the Mid-Atlantic region and East Coast hours.*
* This position 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/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and late payment interest to minimize financial impacts.

** DUTIES AND 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

** POSITION QUALIFICATIONS*
* + Bachelor's Degree or higher strongly preferred or equivalent work experience

+ 3+ years of experience in benefits and claims administration.

+ 3+ years of relationship management and project management experience

+ Advanced knowledge of Cigna claims and supporting systems (Proclaim, PMHS, Facets) highly preferred

+ Proficient in Excel and Power Point

+ 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 -…