Senior Enrollment/Billing Analyst
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Job Description
Enrollment/Billing Senior Analyst managing complex client accounts at Evernorth Health Services. Responsible for billing and collections support with a strong focus on customer service and accuracy.
Responsibilities:
- Manage assigned portfolio of complex client accounts
- Perform tasks related to collections processes and procedures
- Research/respond to billing or payment inquiries within established turnaround times. Escalate issues as needed.
- Work with third party administrators, brokers and/or clients directly to reconcile accounts receivable
- Facilitates conference calls or meetings with internal and external parties
- Extensive research related to member eligibility and rate variances
- Analyze client data utilizing various reports and resources
- Process group renewals, new business, terms and revisions
- Account reconciliation on a periodic basis
- Calculate and create special charge bills as needed
- Monitor delinquency reports and send communication to TPA partners
- Peer audit process to ensure quality and mitigate financial risk or exposure
- Responsible for achieving or exceeding daily goals, quality goals, and individual development
- Ensures appropriate use of tools to track and monitor the financial performance of customers
- Work with matrix partners to resolve customer disputes and rate issues
- Partners with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements
- Understand and use accounting concepts
- Prepare monthly and other requested ad hoc reporting
- Provide both internal and external customer service
- Process, review and understand multiple systems inputs
- Special project support as needed
- Electronic Invoicing
- Application of financial payments to accounting systems
- Filing and other general administrative duties
- Account reconciliation on a periodic basis
- Knowledge/understanding of the interrelationships between CIGNA HealthCare matrix partners.
Requirements:
- High School Diploma or equivalent experience is required; Bachelor’s degree preferred
- 3+ years work experience in billing, accounting, or collections role
- Proficient in 10 keys
- Strong knowledge of Excel
- Genasys, SAP, PCRS system knowledge preferred, or quick learner of new applications and systems
- Analytical, attention-to-detail, and quality-oriented
- Knowledge of MicroSoft applications
- Ability to demonstrate solid problem solving skills
- Demonstrate ability to manage time and prioritize appropriately
- Demonstrates responsiveness and a sense of urgency when dealing with internal and external clients
- Ability to multi-task and shift priorities
- Demonstrate strength and understanding of customer expectations and "sense of urgency" resulting in the ability to influence the organization to meet and exceed customer expectations
- Ability to work independently and pro-actively
- Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization
- Demonstrate leadership and motivational skills in fast-paced environment
- Strong interpersonal skills.
Benefits:
- comprehensive range of benefits
- health-related benefits including medical, vision, dental, and 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
- eligible to participate in an annual bonus plan
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