Cigna Claims Senior Associate – Medical Billing (Cigna Pharmacy Home Delivery) in Sioux Falls, South Dakota

Description:

Role Summary:

This role supports Cigna Pharmacy Home Delivery. The Medical Claims Billing Team submits payment claims that are to be processed through the medical benefits for Cigna Specialty Pharmacy to Cigna and other payers.

Responsibilities:

  • Submits and reviews claims billed through Medical payers
  • Addresses denied and partial payments
  • Works directly with Medical payers and internal customers to resolve billing and customer account issues
  • Work closely with internal customers, physicians, assistance programs and others involved to ensure members are receiving the correct level of assistance
  • Contacts customers to obtain additional information if requested, and resolve billing and balance issues
  • Works orders through completion-ensuring correct reimbursement is received in a timely manner
  • Submits and resubmitting claims and forms accurately to receive correct payment for customers
  • Responds to inquiries from internal and external sources regarding claim status and customer accounts
  • Meets established metrics to ensure department goals are met

Qualifications:

Qualifications:

  • High School Diploma or equivalent required
  • Certified Pharmacy Technician (CPhT) a plus
  • 2 years of Medical Billing experience highly desired
  • Excellent communication skills both written and verbal
  • Strong customer focus with professionalism, courtesy, and discretion in dealing with both internal and external customers
  • Strong attention to detail while being able to manage multiple tasks with efficient time management
  • Demonstrates good decision making skills and problem solving techniques
  • Proficient technical skills utilizing Microsoft applications, including Word and Excel
  • Continually strives to improve processes and procedures that will promote increased efficiencies through presenting new ideas and views in a professional manner

Work Schedule:

Monday-Friday day hours, no weekends or holidays

Primary Location: Sioux Falls-South Dakota

Work Locations: 2500 East 52nd Street North Sioux Falls 57104

Job: Bus Ops--Claims

Schedule: Regular

Shift: Standard

Employee Status: Individual Contributor

Job Type: Full-time

Job Level: Day Job

Travel: No

Job Posting: May 14, 2018, 3:35:30 PM

Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com