[Hiring] Billing Team Lead @The Cigna Group

Role Description

Join a team that believes exceptional care begins behind the scenes. As Billing Team Lead, you will help patients access the treatments they need by leading accurate, timely, and high-quality billing operations. You’ll guide a dedicated team, support process improvements, and play a key role in ensuring we deliver a seamless billing experience with compassion and expertise.
• Lead billing accuracy and performance by ensuring claims are submitted correctly and on time, reducing denials and improving reimbursement outcomes.
• Serve as the primary resource for the team, offering coaching and guidance to resolve complex billing, enrollment, and payor-related issues.
• Elevate team capability by sharing updates on contract changes, system enhancements, and process improvements that strengthen billing quality.
• Drive continuous improvement by reviewing productivity, quality benchmarks, and trends; identifying opportunities to streamline workflows and enhance results.
• Communicate effectively with leaders through clear reporting of dashboards, analytics, and billing trends that inform operational decisions.
• Foster connection and clarity by conducting team meetings, sharing organizational updates, and ensuring alignment with department goals.
• Maintain compliance excellence by ensuring all billing processes meet regulatory, accreditation, and internal standards.

Qualifications
• High school diploma or GED.
• At least 1 year of leadership experience in a team-oriented setting.
• At least 2 years of experience related to medical billing and coding.
• Strong customer service skills with the ability to communicate clearly with patients, payors, and external partners.
• Experience processing major medical and pharmacy claims.
• Understanding of third-party payor guidelines and reimbursement practices.
• Ability to protect confidential information and handle sensitive data responsibly.
• Strong organizational, problem-solving, and time-management abilities.
• Ability to work independently while contributing to a collaborative team culture.
• Proficiency with Microsoft Office with Strong proficiency in MS Excel.

Requirements
• Experience in healthcare, home infusion, or insurance-related environments.
• Familiarity with medical terminology and coding systems such as ICD-10, CPT, and HCPCS.
• Knowledge of Medicare billing requirements, including DMEMAC.
• Experience using billing or clinical documentation systems such as HCN 360, CPR+, or CareTend.
• Associate degree or higher in a related field.

Benefits
• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• 401(k) with company match.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.
• Eligible to participate in an annual bonus plan.