Job description
GENERAL PURPOSE:This role is within the Medical Onboarding Team. This position is accountable for all functions through the initial review of the Onboarding process to assure new and existing physicians meet Cigna health plan's requirements for employment as a contracted physician.
DUTIES AND RESPONSIBILITIES:
Perform review of the transaction received for credentialing, contracting and loading based on Center for Medicare and Medicaid Centers (CMS), National Committee of Quality Assurance (NCQA), IRS TIN Matching Program and Cigna Requirement and loading standards
Outreach to the provider’s office for discrepancy and missing information and track information on tracking tool
Partner with various matrix partner’s for resolution of issues including, but not limited to Credentialing, Provider Support Unit, Provider Development Management, Contracting and Provider Representatives
Work with provider or group by phone, email, or mail regarding Onboarding status
Schedule Cigna outreach follow-up requirements
Meet individual and department metrics
Job involves a high degree of complexity and business logic
POSITION REQUIREMENTS:
High School diploma or GED required
Two or more years in the Healthcare field or equivalent work experience preferred
Previous experience working in a production environment preferred
Experience using Microsoft Office applications (Word, Excel, Outlook)
Solid experience using research skills preferred
Solid customer services skills and personal service best practices
Self-starter and independent worker with minimum supervision
Building trust and respect with metric partners by consistently exceeding quality expectations
Manage multiple demands
Work independently and collaboratively as a team player
Excellent organization and time management skills
Demonstrate good critical thinking skills and able to problem solve
Solid oral and written communication skills
Able to shift focus and direction quickly
Successful history of engagement in repetition work
Able to learn and work in a fast pace environment
Clearly communicate issues to Management, Team Lead and Tech Coach
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 18 - 28 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.
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