The job profile for this position is Enrollment/Billing Lead Representative, which is a Band 2 Professional Career Track Role.
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POSITION SUMMARY
The Revenue Account Lead Representative is responsible for managing all billing aspects for a medium complexity or larger volume book of business of 250- including non-standard Broker, Third Party Administrator, Client Driven Remittance, and Self-billing accounts. This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquires, and partner with internal and external partners to create a positive client experience.
Key responsibilities of this role include: 1) Owning the end-to-end billing relationship at the Exchange or TPA level for multiple clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Act as a subject matter expert on 2+ Revenue Management processes; and 4) Successful implementation of new and renewing clients.
Primary Functions
• Manage the end-to-end billing relationship at the broker, client, or TPA level for all items related to the medical, dental, vision, and pharmacy invoice
• Work with client/third party vendors on the billing installation and ongoing processes to improve the client experience and reduce financial risk
• Identify and solve for areas of opportunity/trends at the client, broker, or TPA level
• Conduct and lead client, TPA walkthrough calls to explain standard process and discuss any non-standards
• Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission’s errors, etc.)
• Allocate premiums in the CARBS webtool system for onshore and medium complexity accounts.
• Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation)
• Partner with offshore Global Service Partner to improve the client experience and reduce financial risk.
• Communicate via telephone and email to delinquent clients in order to drive collection of outstanding premiums following the standard delinquency process
• Recommend reserve amounts/accruals to finance on a monthly basis
• Develop and create custom reporting for clients per PBAB approval
• Updates reporting timely and accurately
• Drives changes in client behavior to achieve Cigna's financial results
Key Qualifications
• High School Diploma or GED required.
• 3+ years’ relevant experience in billing, collections, A/R preferred.
• Strong customer-centric focus and ability to work directly with point of contact in a client-facing role.
• Analytical skills and ability to effectively problem-solve issues to resolution.
• Strong customer-centric focus and ability to work directly with point of contact in a client-facing role.
• Ability to establish strong matrix partner relationships and follow through on expectations.
• Demonstrated time management capabilities and ability to manage competing demands.
• Strong communication (oral and written) and organizational skills to effectively interact with all levels and functions within the organization.
• Proficient using MS Office; specifically, Excel (i.e., pivot tables, v-lookups, various formulas).
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 22 - 34 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 and paid holidays. For more details on our employee benefits programs, click here.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.