Accounts Receivable Manager
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Job Description
Accounts Receivable Manager managing AR activities for Health Care Professionals. Key partner in improving provider experience through claims administration and monitoring.
Responsibilities:
- This position is responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business (for the Mid-West/Mid-America Market) tied to an account management team
- Serves as a key member of the account management team responsible for AR Management
- Collaborates with experience manager and matrix partners to identify, resolve and improve AR issue
- Key contributor to the development of the HCP strategic plan for an aligned BOB
- Proactively monitors account receivable, performance guarantees and other AR related issues and communicates results to experience manager
- Drives root cause analysis, trending related to AR resolution
- Interacts directly with HCP to understand, educate, communicate and resolve AR issues
- Participates in face to face meetings with EM as needed to act as an AR SME
- Manages AR issue/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 BOB as defined by the SER 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 (BOB)
- Responsible for tracking and trending all AR related issues timely and accurately in appropriate tools
Requirements:
- Bachelor's degree or higher strongly preferred or equivalent work experience required
- 3+ years of experience in benefits and claims administration and/or relationship or project management experience
- Advanced knowledge of Proclaim required with Facets preferred
- Excel experience required (pivot tables/VLOOKUP nice to have)
- 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 minimal travel may be required
Benefits:
- health-related benefits including medical, vision, dental, and 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
- eligibility to participate in an annual bonus plan
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