About the position
POSITION SUMMARY The Revenue Account Specialist is responsible for managing all billing aspects for a complex or larger volume book of business of ~300- including Over/Under 3000, Exchange, and National Accounts. This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience. Key responsibilities of this role include: 1) Owning the end-to-end billing relationship at the Exchange or TPA level for multiple clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Act as a subject matter expert on 2+ Revenue Management processes; and 4) Successful implementation of new and renewing clients. Responsibilities are subject to change based on business need.
Responsibilities
• Manage the end-to-end billing relationship at the Exchange, broker, client, or TPA level for all items related to the medical, dental, vision, and pharmacy invoice.
• Work with client/third party vendors on the billing installation and ongoing processes to improve the client experience and reduce financial risk.
• Identify and solve for areas of opportunity/trends at the Exchange, broker, or TPA level
• Conduct and lead client, Exchange, TPA walkthrough calls to explain standard process and discuss any non-standards.
• Attend strategy and new client calls with the assigned Revenue Account Specialist to ensure new clients are implemented successfully.
• Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission errors, etc.).
• Allocate premiums in the Cigna Accounts Receivable Billing System (CARBS) webtool system for onshore and complex accounts.
• Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation).
• Act as a resource to the Revenue Account Specialist on escalated complex issues
• Partner and train the offshore Global Service Partners to improve the client experience and reduce financial risk.
• Communicate via telephone and email to delinquent clients in order to drive collection of outstanding premiums following the standard delinquency process.
• Recommend reserve amounts/accruals to finance on a monthly basis and attend monthly call with Accounting.
• Develop and create custom reporting for clients per PBAB approval. Updates reporting timely and accurately.
• Drives changes in client behavior to achieve Cigna's financial results.
Requirements
• High school diploma or GED; Bachelor’s degree preferred
• 3+ years’ experience performing within the Revenue Management Billing team with proven successful results
• Demonstrated knowledge of CARBS, Web reconciliation tool, Cognos, ePro, Vista, and CED systems
• Proficient using MS Office; specifically Excel (i.e., pivot tables, v-lookups, various formulas)
• Analytical skills and ability to effectively problem-solve issues to resolution
• Strong customer-centric focus and ability to work directly with point of contact in a client-facing role
• Ability to establish strong matrix partner relationships and follow through on expectations
• Demonstrated ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work
• Ability to demonstrate increased awareness on account specific barriers impacting deliverables geared at influencing positive change
• Support or realign focus designed to meet or exceed customer expectations
• Ability to manage multiple and divergent priorities and deadlines
• Work independently and proactively while offering support to peers
• Advanced proficiency with multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems)
• Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization.
• Demonstrates ability to manage all communication timely and professionally
• Leadership and motivational skills to successfully navigate within a fast-paced environment
• Demonstrates interpersonal skills
• Ability to manage multiple competing demands to include effective time management and organization skills
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Benefits
• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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