Financial Operations Representative
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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About the role
- Provide administrative support in response to pharmacy remittance requests
- Provide first tier escalation on research and resolutions to exceptions
- Manage moderately complex remittance issues with VA providers and Medicaid subrogation providers
- Correspond daily with providers and vendors regarding remittance and claim status research
- Collaborate with IT, Manual Claims, Account Management, Pharma and Retail Relations
- Work cross functionally in the resolution and communication of remittance issues
- Identify and research chain affiliation errors
- Data entry and QA of adjustments and EFT banking setup
- Work with the Secure File Transfer Services (SFTS)/B2B teams
- Identify issues with electronic 835 files and request recreation of data
- Synchronize the setup of electronic ASCx12N 835 files
- Resolve issues for corporate chains and independent pharmacies
- Establish good working relationships with assigned electronic third-party vendors
- Mentor/assist new employees with all aspects and QA work for accuracy
- Compile monthly data of completed tasks for management review
- Special projects as requested by management
Requirements
- High school diploma or GED required
- 2+ years relevant experience preferred
- Proficient in Excel and Microsoft Word
- Ability to communicate professionally with all levels of company personnel and outside vendors
- Strong organizational skills with the ability to meet multiple deadlines
- Accurate and detail oriented in all aspects of performance
- Uphold high levels of integrity in all aspects of performance
- Ability to maintain confidentiality in all aspects of the work including PHI, PII and financials
- Desire and ability to coach and mentor others
- Desire and ability to exceed customer expectations
- Provide exceptional customer service to internal and external customers
Benefits
- Flexible start time between 7am-8am CST
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data entryquality assuranceremittance processingresearch and resolutionEFT banking setupelectronic 835 filesASCx12N 835 filesremittance issues managementexception handlingmonthly data compilation
Soft Skills
communicationorganizational skillsattention to detailintegrityconfidentialitycoachingmentoringcustomer servicerelationship buildingdeadline management
Certifications
high school diplomaGED