This position is a temporary assignment. As a contractor, you’ll be employed by Magnit, not The Cigna Group or any subsidiaries of The Cigna Group.

LOCATION:

This is a fully remote opportunity open to candidates within the US

SCHEDULE:

Training hours are Monday through Friday 9:30 AM - 6:00 PM CST. 

Work Schedule

After all of the training is completed, the hours for this position will be 10:30am-7:00pm CST.

ROLE OVERVIEW

The Claims & PR (Provider Relations) Advocate will service inbound claim calls from both members and providers or their office support staff. Occasional outbound calls are required to resolve claim issues.

The types of calls a Claims & PR Advocate services may include but are not limited to: inquiries about claim status details, claim reprocessing requests, provider contract questions or requests to update demographics. 
Due to the wide variety of call types, several applications are required to service these inquiries, and multiple applications are often needed within the same call. Independent problem solving, multitasking, and technical savvy are essential to be able to carry out the responsibilities of this role. Calls must be serviced in a helpful and professional manner.

Responsibilities:
The primary responsibility of this role is to answer inbound claim calls from members or providers, as well as contracting and Provider Relations related calls from providers. 

The work environment is structured, and the majority of the day will be spent answering these calls from a queue. Occasional outbound calls may be necessary for issues requiring follow-up.

Within a call a Claims & PR Advocate may:

Assist a member or provider with understanding how a claim has processed Verify claim status for a member or provider Educate a member or provider on billing protocols 

Write or correct authorizations to ensure claims are paid correctly Send claims for adjustment/reprocessing 

Request duplicate EOBs for a member or provider 

Send a request for a cancelled check copy, to reissue a check, or request a stop pay/do not reissue on a check 

Provide follow-up on issues by making outbound calls when necessary Send resources to members and providers via email 

Submit a complaint on the member or provider's behalf 

Send handoff requets to matrix partners for escalated or complex issues 

Assist providers with contract related inquiries and demographic updates Independently problem-solve to ensure accurate information is given, exceptional customer service, and first call resolution is achieved

SKILLS

Customer Service experience

Able to excel and/or prior successful experience in a virtual team environment Ability to maintain a professional and positive image to members, providers, facilities, billing offices, etc.

Candidate must possess superb interpersonal communication skills 

Effective listening and organizational skills, with the ability to manage multiple tasks Intuitive technical capabilities with the ability to quickly understand and apply working knowledge on several claim systems and applications Independent problem-solving skills 

Strong time management skills 

Ability to type effectively and have strong PC skills

EDUCATION
Bachelor's Degree REQUIRED
 

Hourly Pay Rate Range (dependent on location, experience, expectation) 

The pay range that Magnit reasonably expects to pay for this position is: $16.00/hour-$20.00/hour 

Benefits: Medical, Dental, Vision, 401K (provided minimum eligibility hours are met)

We are unable to provide visa sponsorship or STEM OPT training