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Medical Onboarding Reviewer - Franklin, TN #6673197

Company: Cigna

Date: 08/14/2019

Category: Insurance

City: Franklin, TN

It's fun to work in a company where people truly BELIEVE in what they are doing!


We're committed to bringing passion and customer focus to the business.


Hours of Position : 9:00 A.M. – 5:30 P.M. (Monday-Friday)


GENERAL PURPOSE:


This role is within the Medical Onboarding Team. This position is accountable for all functions through the initial review of the Onboarding process to assure new and existing physicians meet Cigna health plan's requirements for employment as a contracted physician.


DUTIES AND RESPONSIBILITIES:


  • Perform review of the transaction received for credentialing, contracting and loading based on Center for Medicare and Medicaid Centers (CMS), National Committee of Quality Assurance (NCQA), IRS TIN Matching Program and Cigna Requirement and loading standards


  • Outreach to the provider’s office for discrepancy and missing information and track information on tracking tool


  • Partner with various matrix partner’s for resolution of issues including, but not limited to Credentialing, Provider Support Unit, Provider Development Management, Contracting and Provider Representatives


  • Work with provider or group by phone, email, or mail regarding Onboarding status


  • Schedule Cigna outreach follow-up requirements


  • Meet individual and department metrics


  • Job involves a high degree of complexity and business logic

POSITION REQUIREMENTS:


  • Two or more years in the Healthcare field or equivalent work experience preferred


  • Previous experience working in a production environment preferred


  • Experience using Microsoft Office applications


  • Self-starter and independent worker with minimum supervision


  • Building trust and respect with metric partners by consistently exceeding quality expectations


  • Manage multiple demands


  • Work independently and collaboratively as a team player


  • Excellent organization and time management skills


  • Demonstrate good critical thinking skills and able to problem solve


  • Solid oral and written communication skills


  • Able to shift focus and direction quickly


  • Successful history of engagement in repetition work


  • Able to learn and work in a fast pace environment


  • Clearly communicate issues to Management, Team Lead and Tech Coach


  • Administration and Research skills


  • Basic Knowledge of customer service and personal service best practices

Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth 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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.


We’re a global health service company dedicated to helping people improve their health, well-being and sense of security. We offer an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products that serve over 95 million customers around the world. When you work with us, you’ll enjoy a different kind of career - you’ll make a difference, learn a ton, and change the way people think about health insurance. To see our culture in action, search #TeamCigna on Twitter or Instagram.


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