Medical Claims Data Entry Associate

WORK LOCATION: HYBRID POSITION; Must live in Bloomfield, CT and be able to work in the Bloomfield, CT office 3 days per week

Medical Claim Analyst Data Entry is responsible for entering medical claim data for a Coordination of Benefits (COB) Competitive Intelligence Team.

Knowledge with how to read and interpret medical claims, medical claim forms and Explanation of Benefits is required.

Knowledge and understanding of Medical coding is a plus.

The incumbent will have the ability to positively impact the accuracy and efficiency of the data entered.

Candidate selected for this role will work closely with the COB Analysts, IT support, and management to communicate completed data entry projects daily as well as correct any errors timely and efficiently.

JOB RESPONSIBILITIES:


* Complete data entry of medical claim information in our Professional and Facility Access Databases on a timely basis, meeting or exceeding assigned delivery dates.

Utilize all sites, systems, and tools needed to effectively complete projects as needed such as: Access, IView, Xnet, Reference Documents, SharePoint, Iris, and Customer Support Center, Outlook and Excel.


* Maintain monthly target productivity metrics for both Professional and Facility Coordination of Benefits manual data entry (including electronic CBOR records).


* Perform quality reviews of all manual and electronic records based on standard protocols and make corrections as needed.


* Maintain target accuracy rates.


* Be responsive to audit feedback from Analysts, or management, completing all corrections on a timely basis.


* Participate in team discussions and contribute to the development and testing of projects to improve COB data mining process.


* Support COB analysis process improvements as needed.


* Behave ethically and in compliance with applicable laws when conducting CIGNA business by ensuring participating in mandatory training courses and adhering to CIGNA's Code of Ethics and related policies.


* Work effectively with peers, Analysts and management to deliver quality COB results.

Be responsive to their inquiries.

QUALIFICATIONS:


* High School Diploma or equivalent


* 2+ years' experience in Medical Claims, Medical Coding required


* 2+ years working in Health insurance required


* Knowledge of Explanation of Benefits required


* Experience working in a metrics productivity environment


* Proficient with MS Office Suite - Outlook, Access and Excel


* Medical Claim knowledge and medical claim form knowledge a plus


* Independent, but a Team Player


* Positive motivated individual


* Organized


* Good Communicator


* Problem solving ability

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a divis...