Medical Billing Specialist

2 days ago

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Logo of The Cigna Group

The Cigna Group

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

πŸ“‹ Description

β€’ Develop and manage a scalable framework of workflow, process, and tactics supporting the medical billing lifecycle. β€’ Oversee revenue cycle management (RCM) processes including prior authorizations, claim submission, payment processing, and collections. β€’ Lead the development of standardized RCM workflows, policies, and procedures.

🎯 Requirements

β€’ Certification in medical billing and coding is STRONGLY preferred. β€’ 3+ years as a Medical Biller with strong knowledge of common medical billing practices. β€’ Ability to read and identify errors in claims prior to claim submission. β€’ Advanced knowledge of HCPCs, NDC, CPT and ICD-10 codes. β€’ Proven ability to use critical thinking and problem-solving skills to analyze and troubleshoot problems with customer claims.

πŸ–οΈ Benefits

β€’ Comprehensive health-related benefits including medical, vision, dental, well-being, and behavioral health programs. β€’ 401(k) with company match. β€’ Company paid life insurance. β€’ Tuition reimbursement. β€’ Minimum of 18 days of paid time off per year. β€’ Paid holidays.

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