Accounts Receivable Manager – Provider Relations Lead Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Accounts Receivable Manager managing claims and provider relations in Cigna Healthcare. Leveraging strategic planning to improve provider experience through timely claims administration and account management.
Responsibilities:
- responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business tied to an account management team
- be a key partner to the experience manager supporting strategic planning to improve provider experience
- ensure timely and accurate claims administration
- proactively monitor results and leverage resources and tools to assist Health Care Professionals in managing their accounts receivables
- provide direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs
- regularly meet with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement
- engage matrix partners to achieve service improvements and minimize contract interpretation issues
- communicate and educate internally regarding issues/trends to minimize errors and improve claim accuracy
- monitor contractual performance guarantees and LPI to minimize financial impacts
Requirements:
- Bachelor's degree or higher strongly preferred or equivalent work experience required
- 3+ years of experience in benefits and claims administration required
- Advanced knowledge of Cigna claims (administration/processing/research) required
- Strong experience using Proclaim required
- Facets experience is preferred
- Experience using Excel is required (basic skills)
- Account management experience is required
- Experience working with providers is required
- Relationship management and/or project management experience highly preferred
- Access knowledge helpful
- Experience with provider contracting or loading preferred
- 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.
- Limited travel may be required (up to 10%)
Benefits:
- comprehensive range of benefits
- health-related benefits including medical, vision, dental
- 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
- paid holidays
Similar Jobs
Accounts Receivable Specialist
Accounts Receivable Specialist managing incoming payments and financial transactions for Avanath, a property management company focusing on affordable housing. Ensuring accurate bookkeeping and adherence to industry regulations.
RCM – Accounts Receivable
AR Associate ensuring timely and accurate reimbursement for aged accounts at Upstream Rehabilitation. Managing unpaid accounts while supporting the company's mission of empowering lives.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate role for Vert Environmental managing collections and maintaining client relationships. Ensuring timely payment collection while providing excellent customer service in a remote setup.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate collecting overdue payments remotely at Vert Environmental. Collaborating with clients and internal teams to ensure timely collections and resolve discrepancies.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental managing outstanding customer balances and ensuring timely collections. Collaborating with clients and internal teams to resolve billing issues and maintain cash flow.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental handling customer payment collections. Managing outstanding balances and fostering relationships with clients in a remote setting.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental managing collections and maintaining cash flow through customer communication. Engage with clients for timely payment resolution and collaboration with internal teams.
Senior Manager, Global Accounts Receivable
Senior Manager overseeing global accounts receivable activities at Integer Holdings Corporation with focus on collections, credit, cash applications and billing processes.
Contract Accounts Receivable Associate
Contract AR Analyst responsible for improving AR metrics in a video commerce company. Collaborating with internal teams to resolve customer concerns on billing and contracts.
Team Lead, Accounts Receivable
Team Lead for Accounts Receivable in a healthtech startup utilizing AI to improve patient care. Overseeing invoicing, collections, and building an AR team in the Philippines.
Accounts Receivable Specialist
Accounts Receivable Specialist at Corporate Stays managing billing processes and client account management. Responsible for accurate records and reconciliations in a remote setting.
Accounts Receivable Specialist
Accounts Receivable Specialist at Corporate Stays responsible for billing and collections. Managing payment processes and account reconciliations for clients in Paraguay.
Senior Accounts Receivable Specialist
Senior Accounts Receivable Specialist ensuring accurate financial records for CVS Health. Responsible for managing invoices, deposits, and audits in a remote finance environment.
AR Administrator
AR Administrator preparing and maintaining billing data for hospitality SaaS company. Responsible for payment collection and customer communications related to billing.
AR Operations Manager
AR Operations Manager at Uplinq managing a structured invoice-to-cash system for small business owners. Leading collections execution and improving cash predictability while utilizing AI-powered automation.
Accounts Receivable Specialist
Accounts Receivable Specialist responsible for end-to-end A/R management and claim resolutions. Working remotely to improve billing processes and enhance reimbursements.
Accounts Receivable Coordinator
Accounts Receivable Coordinator at GBTA monitoring invoices and managing accounting processes. Collaborating in a fully remote environment with a focus on financial accuracy and customer service.
Accounts Receivable Coordinator – Lead
Accounts Receivable Coordinator Lead at Diligent Billing Management overseeing AR operations and supporting team with claims, discrepancies, and mentorship. Ensures efficiency and accuracy in billing tasks while providing leadership.
Accounts Receivable Manager
Accounts Receivable Manager managing AR activities for Health Care Professionals. Key partner in improving provider experience through claims administration and monitoring.
Senior Billing & Accounts Receivable Analyst
Billing Analyst ensuring financial accuracy and operational excellence within cross-border operations for global companies. Supporting ERP optimization and dashboard maintenance for finance.