Description:

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.

Job Title: Provider Relations Associate Analyst

Location/Schedule Notes:

• This is a fully remote role open to candidates across the US. 
• PST or MST Time Zone preferred, to cover later shift
• Training Hours: 8:30am-5:00pm CST
• Post-Training: Regular working hours will be 10:30am-7:00pm CST
• High-Speed Internet connectivity, required

Role Summary:

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.

Key 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 requests 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

• 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
• Ability to manage multiple tasks Intuitive technical capabilities and 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

Qualifications:

Bachelor’s Degree with a Behavioral Heath focus (ie: Psychology, Sociology), REQUIRED

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

The pay range that Magnit reasonably expects to pay for this position is: $18.00/hour-$21.00/hour. 

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

We are unable to provide visa sponsorship or STEM OPT training.
 

Tundra Technical Solutions (the operator of this Talent Community) is a global leader of contingent talent services. Our success and our clients’ success are built on a foundation of service excellence. We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or other applicable legally protected characteristic. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Unincorporated LA County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: client provided property, including hardware (both of which may include data) entrusted to you from theft, loss or damage; return all portable client computer hardware in your possession (including the data contained therein) upon completion of the assignment, and; maintain the confidentiality of client proprietary, confidential, or non-public information. In addition, job duties require access to secure and protected client information technology systems and related data security obligations. 

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) 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.