Medicare Reimbursement Representative - Accredo - Remote

at  The Cigna Group

ABOUT THE DEPARTMENT

Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives.

QUALIFICATIONS

• High School Diploma or GED Required.
• 2-3 years relevant experience.
• PC Skills including Microsoft Outlook, Excel, Word and Internet.
• Detail oriented and strong organizational skills.
• Self-starter and team player.
• Focus on quality and service.
• Demonstrated ability to meet multiple deadlines and manage a heavy workload.
• Integrity to handle sensitive or confidential information is critical.
  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 17 - 24 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.
  We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

• Prepares and reviews claims to ensure billing accuracy.
• Pursues collection activities to obtain reimbursement from payers and/or patients.
• Frequent follow up with payers and/or patients on outstanding accounts.
• Escalates delinquent and/or complex claims to Sr. Billing & Reimbursement Specialists for appropriate action.