About the role
POSITION SUMMARY
The Enrollment Billing Analyst is responsible for managing all billing aspects for a book of business of ~200 for the Supplemental products. 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 for group clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Successful implementation of new and renewing clients; 4) Complete assigned portions of moderately complex to complex audits to ensure accuracy and consistency with administrative procedures and guidelines.
The role also manages ported members and direct bill policies to ensure accurate billing, proper payment application, claims eligibility support, and strong financial controls.
Primary Responsibilities
Manage the end-to-end billing relationship at the member, broker, client, or TPA level for all items including but not limited to new business, renewal, life cycle changes, premium variance, audits, sales compensation, and special projects related to supplemental products.
Collaborate with member/client/third party vendors on billing and ongoing processes to improve client experience and reduce financial risk
Conduct and lead client walkthrough calls to explain standard processes and discuss non-standards
Utilize critical thinking skills and financial knowledge to identify root cause of member or client issues (related to incorrect rates, eligibility errors, commission errors, etc.)
Partner with offshore Global Service Partner to improve the client experience and reduce financial risk.
Communicate via telephone and email to delinquent clients to drive collection of outstanding premiums following the standard delinquency process
Updates reporting timely and accurately
Drives changes in member/client behavior to achieve Cigna's financial results
Ensure all actions, decisions, research, communications, and supporting documentation are retained in the appropriate systems and folders in alignment with team process expectations
Identify system issues, open or support tickets as needed, and track outstanding issues through resolution
Key Qualifications
High school diploma or GED required; Bachelor’s degree in finance, accounting, related curriculum preferred
Relevant experience in billing, collections, A/R, or closely related field preferred
Experience in client services/management preferred
Strong technical and analytical skills
Ability to effectively problem solve issues to resolution
Ability to apply sound judgment to refund, transfer, payment application, claims eligibility, and escalation decisions
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
Demonstrate ability to learn and apply knowledge quickly while utilizing perseverance and customer-centric approaches in day-to-day work
Support or realign focus designed to meet or exceed customer expectations
Ability to manage multiple, divergent priorities and deadlines while working independently and proactively with minimal support
Advanced proficiency of multiple software and system-based applications, including database and spreadsheets (Word, Excel, PowerPoint, tracking systems)
Strong understanding of accounting principles, control procedures, and audit practices
Strong verbal/written communication and organizational skills to effectively communicate and interact with all levels and functions within the organization
Leadership and motivational skills to successfully navigate within a fast-paced environment
Demonstrate interpersonal 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.For this position, we anticipate offering an hourly rate of 22 - 34 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.
At The Cigna Group, 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), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Originally posted on Himalayas