Billing & Reimbursement Representative, Whitestown, Indiana, USA at The Cigna Group

Position Summary

Must be located within driving distance of the Whitestown, Indiana office as this position is mainly remote/work from home, but attendance for training and meetings in-person as necessary is required. Must be able to work Monday - Friday for an 8-hour shift with flexibility to start workday between 6am - 9am EST. Join our Accounts Receivable team that supports Accredo Specialty Pharmacy as a Billing & Reimbursement Representative .

In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect payment on outstanding claims in pursuit of reducing the company's accounts receivable. The qualified candidate must have a complete understanding of the billing and collection processes and require little supervision for routine work. 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 patients and/or payors 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) Frequent follow up with payers and/or patients on outstanding accounts Respond to billing inquiries and questions relating to patient accounts Help with special projects when needed

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 with flexibility to start workday between 6am - 9am EST High school diploma or GED required 2+ years relevant experience - billing, reimbursement, collections preferred Healthcare, insurance, pharmacy knowledge highly preferred PC Skills including Microsoft Outlook, Excel, Word Strong written & verbal communication skills Strong critical thinking & investigative skills Detail oriented and strong organizational skills Self-starter and team player 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.
• About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives.
• 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.
• Join us in driving growth and improving lives.
• 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.
• If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.
• Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
• The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
• Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
• These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
• Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.