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The Cigna Group · 6 days ago

Provider Relations Associate Analyst (36797876)

United States

Contract

Remote

New Grad, Entry Level

$17/hr - $19/hr

The Cigna Group is a healthcare company seeking a Provider Relations Associate Analyst for a fully remote role. This position involves servicing inbound claim calls from members and providers, resolving claim issues, and providing exceptional customer service.

CommercialHealth CareHospitalInsuranceMedical

No H1B

Responsibilities

The primary responsibility of this role is to answer inbound claim calls from members or providers, as well as contracting and Provider Relations related calls from providers

The work environment is structured, and the majority of the day will be spent answering these calls from a queue

Occasional outbound calls may be necessary for issues requiring follow-up

Assist a member or provider with understanding how a claim has processed Verify claim status for a member or provider

Educate a member or provider on billing protocols

Write or correct authorizations to ensure claims are paid correctly

Send claims for adjustment/reprocessing Request duplicate EOBs for a member or provider

Send a request for a cancelled check copy, to reissue a check, or request a stop pay/do not reissue on a check

Provide follow-up on issues by making outbound calls when necessary Send resources to members and providers via email

Submit a complaint on the member or provider's behalf

Send handoff requests to matrix partners for escalated or complex issues

Assist providers with contract related inquiries and demographic updates Independently problem-solve to ensure accurate information is given, exceptional customer service, and first call resolution is achieved

Qualification

Customer Service experienceTechnical capabilitiesProblem-solving skillsTime management skillsTyping skillsPC skillsInterpersonal communicationOrganizational skillsEffective listening

Required

This position is a temporary assignment

As a contractor, you'll be employed by Magnit, not The Cigna Group or any subsidiaries of The Cigna Group

Fully remote role requiring high speed internet

The primary responsibility of this role is to answer inbound claim calls from members or providers, as well as contracting and Provider Relations related calls from providers

The work environment is structured, and the majority of the day will be spent answering these calls from a queue

Occasional outbound calls may be necessary for issues requiring follow-up

Customer Service experience

Able to excel and/or prior successful experience in a virtual team environment

Ability to maintain a professional and positive image to members, providers, facilities, billing offices, etc

Candidate must possess superb interpersonal communication skills

Effective listening and organizational skills, with the ability to manage multiple tasks

Intuitive technical capabilities with the ability to quickly understand and apply working knowledge on several claim systems and applications

Independent problem-solving skills

Strong time management skills

Ability to type effectively and have strong PC skills

Bachelor's Degree, Required