Remote Claims Processor
The schedule is Monday - Friday, 8 : 00am - 4 : 30pm EST.
- Please note : This is mainly a remote / work at home position but the candidate selected must be within driving distance to Whitestown, Indiana as it will require 1-2 days per quarter to be on-site in the Whitestown, Indiana office.
Essential Functions :
Prepare and review claims to ensure billing accuracy according to payor requirements.Pursue collection activities to obtain reimbursement from payors.Contact payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).Make 10-20 outbound calls daily, as needed.Frequent follow up with payers and / or patients on outstanding accounts.Respond to billing inquiries and questions relating to patient accounts.Frequently use phone / email / portal communications with patients and payors.Qualifications :
HS Diploma or GED requiredCustomer service experience; healthcare / insurance industry preferredPatient billing and collections experience preferredPC Skills including Microsoft Outlook, Excel, Word and InternetStrong written & verbal communication skillsDetail oriented and strong organizational skillsSelf-starter and team player; willingness to learnFocus on quality and serviceDemonstrated ability to meet multiple deadlines and manage a heavy workloadIntegrity to handle sensitive or confidential information is criticalAbout The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.