Cigna
Payer Contract Analyst - CarepathRx - Remote
United States Work at Home
Sponsorship not specified$24k-$40kDetected 5 days ago
Data VisualizationComplianceNegotiationExcelAuditingHIPAACommunicationProblem SolvingMicrosoft OfficeClaims ManagementFiber Optics
About the role
- The PCA will assist Contracting with contacting payers to receive relevant information for billing.
- The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills.
- For this position, we anticipate offering an hourly rate of 24 - 40 USD / hourly, depending on relevant factors, including experience and geographic location.
Responsibilities
- Manages defined processes to ensure effectiveness and efficiency in the process and maintains databases, including contract/fee schedule rate updates, to ensure proper tracking, audits, reporting, analysis and resolution occurs timely and appropriately.
- Assist with network contracting by making calls to payors, follow-up support and documentation requirements.
- Supports the payer contract team ensuring that contract requirements are appropriately met, contracts are kept up-to-date in the pharmacy electronic files. Assists in payer negotiation activities.
Requirements
- High school diploma or GED required.
- Strong knowledge of payor contracting and managed care programs
- Must be able to manage multiple projects simultaneously.
- Must be willing and able to work independently or in a collaborative setting, based on project need.
- Must be able to communicate effectively.
- Assist Payer Contracting team with updating Contract folders as well as completing contract cover sheets and other special projects as required.
- assist in meetings to design newly requested reports as required by the Revenue Cycle Department.
Compensation
- For this position, we anticipate offering an hourly rate of 24 - 40 USD / hourly, depending on relevant factors, including experience and geographic location.
Benefits
- Respond to questions surrounding contracts (reimbursement, benefit design, contracted services).
Visa & Work Authorization
- n, 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
This listing is sourced directly from Cigna's careers page and normalized into a canonical job model.