Provider Data Representative - Cigna Healthcare
Provider Data Representative - Cigna Healthcare
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
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.)
NFs: 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: for support. Do not email 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
