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Revenue Account Specialist - Evernorth - Remote

100% Remote Full-time Open now

About the position POSITION SUMMARY The Revenue Account Specialist is responsible for managing all billing aspects for a complex or larger volume book of business of ~300- including Over/Under 3000, Exchange, and National Accounts. This role 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. Key responsibilities of this role include: 1) Owning the end-to-end billing relationship at the Exchange or TPA level for multiple clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Act as a subject matter expert on 2+ Revenue Management processes; and 4) Successful implementation of new and renewing clients. Responsibilities are subject to change based on business need.

Responsibilities

  • Manage the end-to-end billing relationship at the Exchange, 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 Exchange, broker, or TPA level
  • Conduct and lead client, Exchange, TPA walkthrough calls to explain standard process and discuss any non-standards.
  • Attend strategy and new client calls with the assigned Revenue Account Specialist to ensure new clients are implemented successfully.
  • Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission errors, etc.).
  • Allocate premiums in the Cigna Accounts Receivable Billing System (CARBS) webtool system for onshore and complex accounts.
  • Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation).
  • Act as a resource to the Revenue Account Specialist on escalated complex issues
  • Partner and train the offshore Global Service Partners 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 and attend monthly call with Accounting.
  • 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.

Requirements

  • High school diploma or GED; Bachelor’s degree preferred
  • 3+ years’ experience performing within the Revenue Management Billing team with proven successful results
  • Demonstrated knowledge of CARBS, Web reconciliation tool, Cognos, ePro, Vista, and CED systems
  • Proficient using MS Office; specifically Excel (i.e., pivot tables, v-lookups, various formulas)
  • Analytical skills and 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 while offering support to peers
  • 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.

Benefits

  • 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 and paid holidays.

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