Revenue Account Specialist
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Job Description
Revenue Account Specialist managing complex medical, dental, vision, and pharmacy billing for Cigna Healthcare clients. Driving collections, reporting, process improvements, and financial risk reduction remotely.
Responsibilities:
- Own the end-to-end billing relationship for multiple non-standard clients
- Manage billing for medical, dental, vision, and pharmacy invoices at the broker, client, or TPA level
- Work with clients and third-party vendors on billing installation and ongoing processes
- Identify and resolve client, broker, or TPA billing opportunities and trends
- Lead client and TPA walkthrough calls explaining standard processes and non-standard items
- Identify root causes of billing issues involving rates, eligibility, and commissions
- Allocate premiums in the CARBS webtool system for onshore and medium-complexity accounts
- Identify billing process improvements with internal partners including Commissions, Underwriting, Sales, and Implementation
- Partner with offshore Global Service Partners to improve client experience and reduce financial risk
- Contact delinquent clients by telephone and email to collect outstanding premiums
- Recommend monthly reserve amounts/accruals to Finance
- Develop custom client reporting with PBAB approval
- Update reporting accurately and promptly
- Drive changes in client behavior to achieve Cigna’s financial results
- Support successful implementation of new and renewing clients
Requirements:
- Required prior experience as a Revenue Account Specialist with proven successful results
- Strong technical and analytical skills
- Ability to effectively problem-solve issues to resolution
- Strong customer-centric focus and ability to work directly with client points of contact
- Ability to establish strong matrix partner relationships and follow through on expectations
- Ability to learn and apply knowledge quickly
- Ability to identify account-specific barriers impacting deliverables and influence positive change
- Ability to manage multiple and divergent priorities and deadlines
- Ability to work independently and proactively
- Advanced proficiency with software and system-based applications, including databases, spreadsheets, Word, Excel, PowerPoint, and tracking systems
- Strong verbal and written communication and organizational skills
- Leadership and motivational skills
- Ability to manage multiple competing demands with effective time management and organization skills
- For home work, cable broadband or fiber optic internet service with at least 10 Mbps download/5 Mbps upload
Benefits:
- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Tobacco-free policy
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