Enrollment/Billing Lead Analyst - Remote

Role Summary:

The Enrollment/Billing Lead Analyst works strategically within Accredo Revenue Cycle Management (RCM) to identify risk and opportunity for payors, therapies, and processes that mitigate bad debt, increase cash flow and improve processes relevant to Accredo’ s financial performance. Through this effort, the Enrollment/Billing Lead Analyst role will be responsible for engaging a variety of Cigna matrix partners (e.g. Account Management, Contracting, Underwriting, Accredo Collections, Vendor Management, Clearance, Legal/Compliance, Finance, Accounting) and the appropriate payor points of contact to resolve the identified issues preventing timely and accurate claim payment. 

Role Responsibilities:

• Financial focus on decreasing bad debt and improving financial performance across RCM accounts receivable

• Collaborate across multiple stakeholders and work streams to resolve root cause issues impacting receivables

• Working knowledge of Accredo’s RxHome application, MS products (excel/PowerPoint, Word, Visio & OneNote)

• Provide direction and guidance regarding policies, procedures, workflows, quality, and training needs

• Participate in new product implementation calls and communicate within RCM

• Utilize in-depth knowledge and acumen to monitor trends within RCM, e.g., denials received from payors, therapy trends, and bad debt recovery opportunities for both medical and pharmacy claims

• Analyzing data against the contract rates to confirm that payors are reimbursing Accredo claims correctly

• Ability to lead, facilitate and drive results of various RCM projects impacting receivables

Qualifications:

• Able to work an 8 hour shift within this timeframe: 7am - 6pm EST

• HS diploma or GED required; Associate's or Bachelor's degree a plus

• 4+ years' relevant work experience - finance, accounting, revenue cycle management, billing strongly preferred

• Preferred knowledge of Pharmacy Operations – specifically Evernorth business processes and acumen

• Strong knowledge of Microsoft Office: Excel (pivot tables, vlookup, formulas), Word, PowerPoint

• Self-motivated and goal-oriented

• Ability to manage multiple priorities

• Great time management skills

• Team player with a positive attitude

• Excellent verbal and written communication and presentation skills

• Advanced critical thinking skills and the ability to work collaboratively with other departments to resolve complex issues with innovative solutions

• Detail oriented with organization skills

• Ability to identify, analyze and resolve root causes of issues, collaborate across multiple stakeholders, engage leadership for advocacy, and communicate effectively for impact

• Ability to adapt to a dynamic work environment and make independent decisions

• Demonstrated ability to meet multiple deadlines and manage a heavy workload

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.

For this position, we anticipate offering an annual salary of 59,700 - 99,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About 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.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.