Associate, Cigna Support Services

Remote Full-time
This a Full Remote job, the offer is available from: United States

Headquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
• Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
• Virtual Req #2218

Friday, September 20, 2024

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Cigna Support Services Associate to join #TeamMVP. If you have a passion for medical claims processing and research this is the opportunity for you.

What's In It For You
• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications You'll Bring
• High School Diploma required. Associate degree in health, Business or related field preferred.
• The availability to work Full-Time, Virtual
• 1-2 years' experience processing medical claims.
• Health insurance experience required.
• Ability to research adjustment requests received including determination for payment or denial. Analytical thinking, recognizing likely causes of events, thinks ahead
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your Key Responsibilities
• Processing Cigna claims, reports, service form claim adjustments and Price and Ship claims for all products, in accordance with medical and ancillary guidelines and benefits, including knowledge of Authorization requirements.
• Knowledge of Facets and Macess systems strongly preferred, but not required.
• Act as liaison with other departments and Cigna to resolve claim issues as they arise.
• Responsible for ensuring accurate and timely processing of claims in Facets, Macess, and Price and Ship systems.
• Continuous improvement for claims process inefficiencies identified and implemented.
• Responsible for working daily reports as needed.
• Ability to prioritize multiple assignments with attention to details and deadlines in a high-volume environment.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where You'll Be

Virtual within New York State

Pay Transparency

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

Affirmative Action

MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at [email protected] .

Other Details
• Job Family Claims/Operations
• Pay Type Hourly
• Min Hiring Rate $23.00
• Max Hiring Rate $26.00

This offer from "MVP Health Care" has been enriched by Jobgether.com and got a 72% flex score.

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