Senior Enrollment/Billing Representative

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

📋 Description

• Oversee a designated portfolio of intricate client accounts

• Implement collections processes and procedures

• Investigate and address billing or payment inquiries within set turnaround times; escalate issues when necessary

• Reconcile accounts receivable with third-party administrators, brokers, and clients

• Organize conference calls or meetings with both internal and external parties

• Verify member eligibility and analyze rate discrepancies

• Evaluate client data utilizing reports and various resources

• Handle group renewals, new business, terms, and amendments

• Periodically reconcile accounts

• Calculate and generate special charge bills

• Monitor delinquency reports and liaise with TPA partners

• Conduct peer audits to ensure quality and mitigate financial risks or exposures

• Meet or surpass daily targets, quality standards, and individual development objectives

• Track and assess customers’ financial performance through suitable tools

• Resolve customer disputes and rate concerns with matrix partners

• Recognize and implement high-potential process enhancements with matrix organizations

• Utilize accounting concepts

• Compile monthly and ad hoc reports

• Deliver customer service to both internal and external stakeholders

• Process, review, and interpret inputs from various systems

• Assist with special projects

• Execute electronic invoicing

• Allocate financial payments to accounting systems

• Perform filing and general administrative tasks

• Provide support to the cash team, including cash and census applications, mailings, filing, and electronic invoicing

• Comprehend the relationships between CIGNA HealthCare matrix partners and customer service deliverables

⛳️ Requirements

• A High School Diploma or equivalent is mandatory; a Bachelor’s degree is preferred

• Minimum of 3 years of experience in billing, accounting, or collections

• Proficient with 10-key data entry

• Strong expertise in Excel

• Familiarity with Genasys, SAP, and PCRS systems is preferred, or a quick aptitude for learning new applications and systems

• Analytical mindset with a keen attention to detail and a quality-focused approach

• Proficient in MS applications

• Ability to demonstrate effective problem-solving skills

• Proven capability to manage time and prioritize tasks effectively

• Exhibits responsiveness and urgency when engaging with internal and external clients

• Capacity to handle multiple tasks and adapt to shifting priorities

• Understanding of customer expectations and a willingness to act promptly

• Ability to work independently and take initiative

• Strong verbal and written communication skills, along with organizational abilities

• Leadership and motivational skills in a dynamic environment

• Excellent interpersonal skills

• If working remotely, a cable broadband or fiber optic internet connection with at least 10Mbps download and 5Mbps upload speed is necessary

🏝️ Benefits

• Eligibility for an annual bonus plan

• Comprehensive medical, vision, and dental insurance

• Well-being and mental health programs

• 401(k) retirement plan

• Company-funded life insurance

• Tuition reimbursement assistance

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

• Paid holidays

• Leave of absence options

• Requirement for cable broadband or fiber optic internet for remote work