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Accounts Receivable Manager
The Cigna Group. Manage accounts receivable activity for a specific Provider Book of Business tied to an account management team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in accounts receivable management, claims administration, and provider relations, with a strong focus on root cause analysis and service-level improvements. Proficient in utilizing advanced claim systems and tools to enhance provider experience and operational efficiency.
Highest-signal resume keywords
Accounts Receivable ManagementClaims AdministrationRoot Cause AnalysisProject ManagementProvider Contracting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdministrationRoot Cause AnalysisProject ManagementExcelPowerPointCigna Claim SystemsProclaimPMHSFacetsAccess Knowledge
Soft Skills
Facilitation SkillsNegotiation SkillsProblem-SolvingCustomer InteractionOwnership
Tools & Technologies
ExcelPowerPointProclaimPMHSFacets
Industry Keywords
Accounts ReceivableProvider ExperienceService Level AgreementsHealthcare ProvidersContract Interpretation
About the role
Key responsibilities & impact- Manage accounts receivable activity for a specific Provider Book of Business tied to an account management team
- Support strategic planning to improve provider experience
- Ensure timely and accurate claims administration
- Monitor results, performance guarantees, late payment interest, and accounts receivable issues
- Provide direction and guidance on policies, procedures, workflows, claim service quality, and training needs
- Meet with healthcare providers to discuss results, review issue trends, and develop improvement action plans
- Engage matrix partners to improve service and minimize contract interpretation issues
- Communicate and educate internal teams about issues and trends to minimize errors and improve claim accuracy
- Collaborate with account management and matrix partners to identify, resolve, and improve accounts receivable issues
- Conduct root cause analysis and trend accounts receivable resolutions
- Manage corrective action plans
- Recommend service-level improvements based on root-cause findings
- Support service experience reviews for the assigned book of business
- Contribute to market intelligence and share documentation
- Achieve or exceed service level agreements
- Review pre- and post-contract setup for the assigned book of business
- Track and trend accounts receivable issues accurately in appropriate tools
- Participate in face-to-face meetings as an accounts receivable subject matter expert when needed
Requirements
What you’ll need- Bachelor’s degree or higher strongly preferred or equivalent work experience
- 3+ years of experience in benefits and claims administration and/or relationship or project management
- Advanced knowledge of Cigna claim and supporting systems (Proclaim, PMHS, Facets) highly preferred
- Proficient in Excel and PowerPoint
- Access knowledge helpful
- Experience with provider contracting or loading
- Demonstrated ability to interact successfully with internal and external customers at all levels
- Demonstrated ability to perform root cause analysis on claims issues
- Demonstrated ability to manage and resolve problems to satisfactory completion
- Project management skills, including time management, task analysis and breakdown, and resource utilization
- Strong facilitation and negotiation skills
- Ability to present detailed technical information to a less knowledgeable audience and negotiate mutually beneficial resolutions
- Ability to understand how each phase of the claims payment process affects the end result and provider satisfaction
- Ability to handle confrontational situations professionally
- Ability to take ownership of tasks/projects and work under minimal supervision with exceptional outcomes
- Some travel may be required, up to 10%
- Home internet, when working remotely, must use cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work option