Accounts Receivable Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist in the Service Model by analyzing claims issues, identifying root causes, and providing resolutions.

• Work collaboratively with matrix partners to pinpoint, address, and enhance Accounts Receivable challenges.

• Engage with and influence matrix partners to foster service enhancements and reduce contract interpretation discrepancies.

• Conduct root-cause analysis trending related to Accounts Receivable resolution.

• Lead investigations into system-related problems and determine suitable business operations solutions.

• Oversee escalated issues using the designated workflow tools.

• Present recommendations for service enhancements derived from root-cause analysis.

• Inform and educate internal partners about trends and issues to reduce errors and enhance claim accuracy.

• Evaluate how contract configurations, business policies, and technology impact claim payments.

• Actively participate in meetings as a Claims Subject Matter Expert.

• Offer training on Accounts Receivable processes to internal partners.

• Engage in or lead special project initiatives.

• Meet or surpass Service Level Agreements.

⛳️ Requirements

• An Associate's Degree or higher is strongly preferred, or equivalent work experience is required.

• A minimum of 3 years of experience in claims processing is required.

• Over 3 years of experience in claims administration is highly preferred.

• Advanced knowledge of Proclaim and Facets is required.

• Advanced familiarity with other Cigna claim processing systems is preferred.

• Comprehensive understanding of current claims business practices, policies, and procedures.

• Capability to link claim knowledge with technology and claim payment results.

• Proficient in navigating across business units to determine root causes.

• Strong skills in Excel, including basic formulas, VLOOKUPs, filtering, and formatting.

• Time management, task analysis, and resource utilization abilities.

• Insight into how claim outcomes influence provider satisfaction.

• Ability to effectively interact with internal and external customers at all levels.

• Willingness to take ownership of tasks and projects while working with minimal supervision.

• Understanding of the entire claims payment process and its impact on provider satisfaction.

• Access to home internet via cable broadband or fiber optic service with a minimum of 10 Mbps download and 5 Mbps upload speeds.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical benefits available starting from day one.

• Vision benefits available starting from day one.

• Dental benefits available starting from day one.

• Well-being and behavioral health programs available starting from day one.

• 401(k) retirement plan.

• Company-paid life insurance.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.

• Work-from-home arrangement.