Financial Operations Representative - Missouri Work At Home

The Cigna Group

Missouri, US
Pharmacy remittance requests
Research and resolution of exceptions
Manage remittance issues with providers
Provide administrative support in response to pharmacy remittance requests received from pharmacies, call center, account managers and management

Job Summary

  • Provide administrative support in response to pharmacy remittance requests received from pharmacies, call center, account managers and management.
  • Manage moderately complex remittance issues with VA providers, state agencies and Medicaid subrogation providers, plus pharmacy chains and independents.
  • Compile monthly data of completed tasks for management review to ensure department’s goals are met.

Matching Summary

Provide administrative support in response to pharmacy remittance requests received from pharmacies, call center, account managers and management.

Skills & Requirements

Must-have

  • Pharmacy remittance requests
  • Research and resolution of exceptions
  • Manage remittance issues with providers
  • Correspond with providers and vendors
  • Investigate and resolve underpayment/over-payment issues
  • Data entry and QA of adjustments
  • Synchronize electronic ASCx12N 835 files

Nice-to-have

  • Desire and ability to coach
  • Exceed customer expectations
  • Exceptional customer service

Key Requirements

  • 2+ years relevant experience
  • Proficient in Excel and Microsoft Word
  • High school diploma or GED

Work Rights

Not specified

Tailored Resume

Cover Letter