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Overview:

Review, analyze, and monitor daily client automated billing deliverables, including custom client report development and client/group invoicing transmission analysis. Process client billing transmission activities, ensuring workflow updates and file exchange audit processes are conducted in accordance with client requirements. Provide comprehensive customer billing issue analysis, research, and resolution. Ensure client inquiries are managed efficiently, data is analyzed accurately, and issues are resolved promptly, with a focus on delivering exceptional customer service support.

Essential Functions Include** **-

Batch Posting and Reconciliation:

+ Posting of billing tasks such as MMX, Stratus and TPHARM

+ Daily processing of client billing transmissions

Client Setups and System Configurations:

+ New client onboarding and setup across multiple platforms (Polaris, IBS, Oracle, PowerStation, GUI)

+ Tracking implementations and spreadsheet management for new clients.

Physical Invoice Changes and Special Invoicing:

+ Making various physical invoice modifications (such as suppressing sensitive information, updating company details, toggling PDF/CSV outputs, and adding summary pages)

+ Handling special invoice requests.

Billing Updates, Notifications, and Administrative Support:

+ Updating billing schedules and distribution lists on SharePoint

+ Assist in working team mailboxes

+ Send notifications (e.g., stale file emails, late notifications)

+ Performing manual billing adjustments

+ Ensure Client inquiries are properly managed, data analyzed, and issue resolved in a timely fashion with increase customer service support

+ Effectively manage deadlines and Client escalations.

**Qualifications** -

+ Ability to work Monday - Friday, start time at 7:30am or 8:00am EST

+ Must be willing and able to work Saturdays and/or Sundays as needed

+ 2+ years' experience in healthcare/pharmacy billing, finance

+ HS diploma or GED required; Associate’s degree or equivalent work experience preferred

+ Previous experience in the PBM industry a plus

+ Experience using Microsoft Office applications (Word, Excel, PowerPoint, etc)

+ Attention to detail and strong communication skills - written and verbal

+ Eager to learn, contribute new ideas, work independently, and work well within a team

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 24 - 40 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.

We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

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 require reasonable accommodation in completing the online application process, please email:_ [email protected]_ _for support. Do not email_ [email protected]_ _for an update on your application or to provide your resume as you will not receive a response._

_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._