Job Snapshot

Company:
Location:
Employee Type: Full-Time
Industry: Healthcare - Health Services
Insurance
Manages Others: No
Job Type: Entry Level
Health Care
Insurance
Education: High School
Experience: At least 1 year(s)
Relocation Covered: No
Posted: 11/4/2009

Contact Information

Contact: Not Available
Ref ID: 65030




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About Us

At CIGNA, we believe good health benefits everyone. That’s why we’ve made it our mission to improve the health, well-being and security of every individual we serve. And while we can't fix the entire health system overnight – we're doing everything in our power to make it better. Because when we do – we help people (and the companies they work for) perform better and lead more fulfilling lives. That’s good for everyone. See for yourself when you view our PLEDGE.

Provider Data Associate

Maintains current provider data to ensure the quality of the network. May coordinate provider enrollment, and assist with coordination of meetings with providers for training, contracting, and reporting. Updates directories for all contracted organizations. Responsible for reporting and tracking provider calls and complaints..Performs data entry and maintenance of practitioner and vendor contracts on all CIGNA transactional platforms. Maintains practitioner capitation arrangements on all CIGNA transactional platforms.
Conducts telephonic outreach to physician offices to clarify information regarding physician profiles, addresses, and other key physician / physician group information.
Acts as Initial point of contact for claim research issues. Resolves claim issues.
Communicates practitioner and vendor demographic and reimbursement setups to matrix partners.
Provides data entry for provider directories..


Compensation

CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.

Requirements

Associates/Bachelor's degree in business or related field or 2 to 3 years experience in a productivity and QA setting using data entry skills.
Excellent verbal and written communication skills.
Ability to work independently while managing multiple tasks and meeting deadlines.
Proven ability to maintain positive working relationships with staff.
Strong computer background including proficiency with Windows software including Microsoft Word, Excel, and Access (or equivalent data base experience).
Ideal backgrounds include extensive experience with complex data entry, matrix management, programming, math, and/or logic.
Ability to prioritize and manage multiple tasks.
Proven skills in data management accuracy.
Strong time management skills.
Strong investigative and decision-making skills.
Ability to work independently as part of and in support of a team environment..

CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.

CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.

At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNA’s people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect.


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