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The Enrollment/Billing Lead Representative is responsible for managing all billing aspects for a medium complexity or larger volume book of business including non-standard Broker, Third Party Administrator, Client Driven Remittance, and Self-billing accounts. This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquires, 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 for multiple non-standard clients.

2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk.

3) Successful implementation of new and renewing clients.

Responsibilities

• Manage the end-to-end billing relationship at the 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 client, broker, or TPA level
• Conduct and lead client, TPA walkthrough calls to explain standard process and discuss any non-standards
• Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission's errors, etc.)
• Allocate premiums in the CARBS webtool system for onshore and medium complexity accounts.
• Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation)
• Partner with offshore Global Service Partner 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
• 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

Qualifications:

• Required prior experience as a Revenue Account Specialist with proven successful results
• Strong Technical and analytical skills
• 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
• 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.For this position, we anticipate offering an hourly rate of 22 - 34 USD / hourly, depending on relevant factors, including experience and geographic location.

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

At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.