Job Description

As a Provider Reconciliation Agent you will be part of a Global Provider Reconciliation (GPR) Team  embedded into the Provider Services department. Your main responsibilities will be related with account receivables’ reconciliation requests from providers. You will need to research the status of their invoices using Cigna relevant payment systems and provide the output to our providers. For some specific cases you would be in contact with different departments within Cigna to take necessary steps in order to resolve the reconciliation cases according to the established timeframe. Apart from this you will be monitoring the incoming/outgoing communications with our globally distributed medical facilities as well as be a point of contact for other departments with any provider claims related inquiries. 

Your role includes

• You will be responsible for the review of the reconciliation requests received from providers using relevant payment systems;
• Performing deeper investigation on certain cases with further coordination with other teams in order to solve the cases according to the established standards;
• As part of the reconciliation review, you will be following up on the cases where additional support is needed to help the facility interpret our feedback and take necessary steps;
• Managing the communications related to reconciliation servicesas well as handling other provider inquiries;
• Performing the intake process of the reconciliation cases which will include upload, priority setting and close follow up on the completion;
• Actively support other GPR team members and provide assistance to enable the achievement of team goals;
• Being able to identify any process improvement and make recommendations for potential changes;
• Provide feedback to the GPR team on urgent or critical cases that need special action or attention;
• Deliver on operational KPI’s within the GPR team in terms of production, quality, TAT, amongst others;

YOUR PROFILE

• At least 1 years of experience in a customer service or business administration role;
• Good English language skills, additional language is a plus;
• International mind-set able to work remotely with colleagues, partners and providers across the globe;
• Striving for excellent service to our members, clients and providers is part of your DNA;
• Detail oriented with high accuracy level and proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards);
• Act with a sense of urgency to research questions or issues brought by different teams. Identify the right parties or resources to resolve these issues;
• Strong customer focus with ability to identify and solve problems;
• Strong interpersonal skills with good verbal and written communication to internal and external parties;
• Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
• A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
• Accountability – to assume ownership for achieving personal results and to contribute for collective team goals;
• Working knowledge of SharePoint & Microsoft office;
• This role is reporting directly to the Provider Relation Supervisor.

 
OUR OFFER 
A challenging job in an emerging Department within and international and growing enterprise.
A dynamic, young and entrepreneurial company culture that values and stimulates initiative.
Attractive salary conditions with benefits package 

About The Cigna Group

Job Requirements