The Enrollment and Billing Senior Representative - RAS is responsible for managing all billing aspects for a book of business including Over/Under 500 and National Accounts. The RAS is accountable to collect all premium/fees billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience.Responsibilities:* Manage the end-to-end billing relationship at the broker, client, or TPA level for all items… Show more The Enrollment and Billing Senior Representative - RAS is responsible for managing all billing aspects for a book of business including Over/Under 500 and National Accounts. The RAS is accountable to collect all premium/fees billed on an invoice, resolve all billing inquiries, and partner with internal and external partners to create a positive client experience.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* 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.)* 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* Updates reporting timely, accurately and independently* Drives changes in client behavior to achieve Cigna's financial results* Managing account's to determine root cause of issues and solve for barriers with an innovative approach* Tracking all support level tasks performed through the Management Operating System* Ability to balance and monitor multiple requests in a fast paced environment* Ownership, ability to own driving issue resolution on current and past account concerns* Ability to interpret challenges as an opportunity for growth and personal development* Able to maintain an even temperament in a high stress and demanding environment Show less

Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines. Supports New Business validation, Sales Compensation, Life Cycle Changes, Premium Variance, Collections, Referral audits and Rate Renewal Validation processes based on demands of current inventory. Drives error correction and open over/under balance resolutions. Allocates premium in oracle on client and customer accounts, outreaches to clients via… Show more Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines. Supports New Business validation, Sales Compensation, Life Cycle Changes, Premium Variance, Collections, Referral audits and Rate Renewal Validation processes based on demands of current inventory. Drives error correction and open over/under balance resolutions. Allocates premium in oracle on client and customer accounts, outreaches to clients via email and telephone for outstanding balances or payment support. Responds to client inquiries via email and telephone. Completes assigned portions of New Business, Renewal, Life Cycle Changes, Premium Variance and Referral audits and special projects related to one or more business segments. Processes Sales Compensations timely and accurately to ensure payroll schedule processing targets are met. Performs specific audit procedures on moderately complex to complex audits to identify procedural exceptions and probable reasons for their occurrence. Follows established audit schedules and procedures on assignments. Complies with departmental policies regarding ethical and proper use of company equipment, including internet access, email and phone usage, in compliance with Cigna Information Protection Policy (CIP). Documents audit tests performed, audit observations, and conclusions in accordance with documentation standards. Uses electronic audit tools and effectively applies technology in the audit process. Assists in the preparation of reports on audit results. Run Collections reporting and outreach to PSRs to hold accountable to collect from delinquent accounts. Also recommend intent to cancel with Manager and follow through on process. Develops and/or recommends training programs to address error trends and assist with completion of process improvement projects. Show less

Under the direct supervision of the Administrator, the Business Office Manager manages all accounts receivable, accounts payable, payroll, patient trust funds, and other assigned duties.He/she ensures that the financial system is accurate, efficient, and in accordance with professional accounting practices and government regulations.ESSENTIAL POSITION FUNCTIONS:1. Perform or supervise the collection of all accounts receivable, the input of billing information, andthe billing… Show more Under the direct supervision of the Administrator, the Business Office Manager manages all accounts receivable, accounts payable, payroll, patient trust funds, and other assigned duties.He/she ensures that the financial system is accurate, efficient, and in accordance with professional accounting practices and government regulations.ESSENTIAL POSITION FUNCTIONS:1. Perform or supervise the collection of all accounts receivable, the input of billing information, andthe billing of Medicaid and Medicare; collect accounts payable invoices and process them forpayment, calculate time on time cards, collect time worked information, and process payroll, assistin the general orientation of new employees including the initiation of personnel and healthrecords; maintain personnel and Employee Injury Benefit files; handle disbursements andcollection of personal trust funds and reconcile bank statements; and, other duties as assigned bythe Administrator.2. Ensure timeliness of all company and regulatory reporting requirements in reference to theBusiness Office functions.3. Assist the Administrator by providing administrative and clerical support; answer telephones, takeand distribute messages; obtain and type admission data from the patient’s family, process mailand ensure that the office machines are maintained in a clean and safe manner.4. Maintain resident confidentiality, treat residents with dignity, kindness and respect; know andcomply with Residents’ Rights rules.5. Assist in preparing departmental budgets.6. Other duties as assigned. Show less

I started as a Claims Examiner, then transitioned to Customer Service. I worked my way through promotions, moving up to Customer Advocate III in July 2006 until I ended my career here in November 2008. I reviewed and processed medical claims. I handled telephone and written inquiries submitted by providers and members in a call center environment. I worked to help our team maintain a 45 second average speed of answer. I quickly advanced from the pre-quality program with several weeks at 100%… Show more I started as a Claims Examiner, then transitioned to Customer Service. I worked my way through promotions, moving up to Customer Advocate III in July 2006 until I ended my career here in November 2008. I reviewed and processed medical claims. I handled telephone and written inquiries submitted by providers and members in a call center environment. I worked to help our team maintain a 45 second average speed of answer. I quickly advanced from the pre-quality program with several weeks at 100% quality and high item accuracy rate. As a Customer Advocate III, I had additional training and responsibilities, including coordination of benefits and durable medical equipment. I handled all predetermination requests for the State of Texas contact, as well as assisted lower level advocates with questions and their duties. Show less