Serve as a key member of the account management team responsible for Accounts Receivable Management
Collaborate with Accounts Receivable Manager and matrix partners to identify, resolve and improve Accounts Receivable issues
Key contributor to the development of the provider strategic plan for an aligned book of business
Proactively monitor account receivable, performance guarantees and other accounts receivable related issues and communicate results to Accounts Receivable Manager
Drive root cause analysis, trending related to accounts receivable resolution
Interact directly with provider to understand, educate, communicate and resolve accounts receivable issues
Participate in face to face meetings with Accounts Receivable Manager as needed to act as an accounts receivable Subject Matter Expert
Manage accounts receivable issues/corrective action plans
Work with account management team to proactively make recommendations on changes to improve service levels based upon root cause
Support service experience review process for specific book of business as defined by the Service Experience Review strategy
Contribute to market intelligence, documenting and sharing
Achieve and or exceed Service Level Agreements
Responsible for all pre/post contract set up review for assigned book of business
Responsible for tracking and trending all accounts receivable related issues timely and accurately in appropriate tools
Ability to read and understand data results

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

Accounts Receivable Manager

Key skills