Provider Data Representative - Cigna Healthcare - (Finance)

Specific responsibilities include, but are not limited to:

• Research re-credentialing issues
• Create cases as needed
• Support outbound call projects
• Reporting
• Send out fee schedules/copies of rosters/reference guides/copies of signed contracts
• Send out applications/add locations
• Follow-Up on deficiencies for IQA address; other deficiencies should go back to recruiter-15 days
• ADHOC reporting: clients for PPO, list of DDS at locations
• Basic research in Webster on voice messages
• Speak with offices and answer direct questions while PR managers are traveling (verify address/phone number/etc.)
• NF's: PR manager send list of incident numbers (only for records/wait time follow-up) and ask her to contact office-document in Webster after contact has been made-will make best attempt to close-PR manager may need to get involved if non responsive-initial contact 5 days
• Contract Entry

System Knowledge/Usage :

Webster

Sharepoint

CKIT

SMARTI

Iprovider Fee/Hyperion

SIR

BOI

Force

Pricing Model

Preferred Position Requirements :

• High School Diploma required
• Must be able to work independently/self starter
• Dental Office/Clinical Knowledge a plus
• Ability to manage multiple priorities
• Ability to work in multiple systems
• Strong skill set required in the following areas: analytical, listening, written and oral communication skills
• Detail oriented

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.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.