Provider Services Sr Associate
Location: Franklin Tennessee
Description: Cigna is looking of Provider Services Sr Associate right now, this job will be placed in Tennessee. For detail informations about this job opportunity please give attention to these descriptions. Job Description HOURS OF OPERATION: 10:30A to 7:00P (Monday-Friday) This position is responsible for incoming telephonic customer service and support handling provider inquiries, questions and complaints.
DUTIES AND RESPONSIBILITIES
- Responds to provider inquiries, concerns, complaints, appeals and grievances.
- Initiates and maintains effective channels of communication with providers and related office staff.
- Monitors and track service issues and inquiries and assists with the identification of educational opportunities/programs to improve overall services to the provider network.
- Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated and sensitive issues.
- Demonstrates knowledge of Providers in assigned geographic area. Understands interrelationships among providers in local market.
- Manage appropriate physician correspondence.
- Respond to provider inquiries and instructions regarding provider data in CIGNA systems. Coordinate these provider interactions with Provider Relations Representatives and Matrix Partners as necessary.
- Manages the batching and Credentialing Required Adds into the Newton workflow application.
- Coordination and handling of physician orientations for new and existing providers (mailing out provider orientation packages, scheduling provider appointments for conference call, confirming appointments via phone).
- Provides continuing education of providers via phone on claim submission, claim resubmission and use of provider website and customer service on the statusing of outstanding claims and electronic submission.
- Initiates and maintains effective channels of communication with matrix partners, particularly with provider services staff in the field.
- Bachelors Degree preferred or equivalent work experience
- Minimum of 2 years managed healthcare experience
- Previous customer service experience required.
- Ability to use PC software and multiple CIGNA systems
- Ability to problem solve
- Previous claim, coding, billing experience preferred
- General product(s) and customer knowledge
- Solid oral and written communication skills
- Excellent influencing and executive presentation skills.
- Team player with proven ability to develop strong working relationships within a matrix organization.
- Technical/Functional expertise: Customer Service, Provider Services.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Cigna.
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This job starts available on: Sat, 18 Aug 2012 14:38:10 GMT