Financial Operations Representative - Missouri Work at Home
About This Gig
ESSENTIAL FUNCTIONS Provide administrative support in response to pharmacy remittance requests received from pharmacies, call center, account managers and management. Provide first tier escalation on research and resolutions to exceptions due to overpayments or unpaid claims. Manage moderately complex remittance issues with VA providers, state agencies and Medicaid subrogation providers, plus pharmacy chains and independents. Correspond via mail, email, fax or phone daily with providers and vendors regarding remittance and claim status research. Collaborate with IT, Manual Claims, Account Management, Pharma and Retail Relations on investigating and resolving underpayment/over-payment issues minimizing impact to pharmacies and clients. Work cross functionally in the resolution and communication of remittance issues such as claims research, adjustments or pharmacy set ups. Identify and research chain affiliation errors. Data entry and QA of adjustments and EFT banking setup to ensure ad
About the Seller
The Cigna Group
on Himalayas