Cigna Jobs – Provider Data Senior Representative

Job Description:

The Network Operations Department is responsible for the financial and operational activities of the provider network. In this role, you will be exposed to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting, claim payments, meetings, training, etc.). This role supports the Network Operations Administrators and Representatives.

Job Responsibilities:

• Submitting change requests to update provider demographics, group information, contract changes)
• Develops, maintains, and distributes reports for assigned provider groups
• Identify the right parties or resources, internally and externally, to resolve issues timely.
• Researching and resolving provider issues such as authorization and claim issues
• Prepares documentation for meetings, schedules meetings, and educates providers regarding member benefits and the referral process

Job Requirements:

• Working knowledge of SharePoint, Microsoft Word, Excel, & Access.
• Strong analytical and problem-solving skills.
• Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
• Excellent communication skills – verbal, written and presentation.

Qualification & Experience:

• Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards).
• Strong knowledge of healthcare insurance industry, terminology, provider networks, contracting and credentialing preferred
• Ability and willingness to share knowledge.
• Bachelor’s degree preferred

Job Details:

Company: Cigna

Vacancy Type: Full Time

Job Functions: Information Technology

Job Location: Nashville, TN, US

Application Deadline: N/A

Apply Here

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