Claims Lead Representative for Cigna LifeSOURCE (aka NAC Claims Repricer) Role Summary : Examines and reprices paper and electronic claims for Network Access Client (NAC) business for the CIGNA LifeSOURCE Transplant Network.
Determines steps necessary for repricing.
Ability to understand and apply LifeSOURCE contract terms and rates, as well as individual Letters of Agreements, to claims and reprice accurately.
Be able to enter information into an Access database.
Typically has at least 5 years experience in claims processing.
Responsible for independently reviewing complex, specialty claims.
Works closely with LifeSOURCE Transplant Care Coordinators (nurses). Responsibilities :
For this position, we anticipate offering an hourly rate of 21 - 32 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure.
That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
For more details on our employee benefits programs, visit Life at Cigna Group . About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Join us in driving growth and improving lives. 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.
If you require reasonable accommodation in completing the online application process, please email : SeeYourself@cigna.com for support.
Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco / nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco / nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include : Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Last updated : 2024-02-25
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