Collections Specialist, Home Infusion- Evernorth- Remote
The Cigna GroupAbout the role
Collections Specialist (Enrollment & Billing Representative)- Evernorth
Patient Billing and Reimbursement -Home Infusion
Join a team that is passionate about making healthcare work better for patients and providers. As a Collections Specialist, you will improve reimbursement outcomes, resolve billing challenges, and strengthen patient accounts. Your work helps ensure accurate claims, faster payments, and better access to care. We value curiosity, teamwork, and continuous growth.
Hours: Monday-Friday, 8:00am- 4:30pm or 8:30am-5:00pm ET
Responsibilities (What You’ll Achieve)
• Drive timely and accurate reimbursement through billing and collections
• Investigate denials, identify root causes, and resolve issues
• Submit payer appeals within deadlines and improve approval rates
• Analyze accounts receivable and reduce payment delays
• Partner with payers, patients, and teams to resolve balances
• Document all activities, adjustments, and updates clearly
• Review claims to confirm correct reimbursement
• Correct and reprocess claims to optimize payment
• Interpret EOBs to guide next steps
• Improve processes to reduce denials
• Meet quality and productivity goals
Qualifications
Required Qualifications
High school diploma or GED
1+ years of experience with home infusion or specialty pharmacy medical billing/claims
Strong customer service skills
Problem-solving and critical thinking skills
Clear communication skills
Strong attention to detail
Microsoft 365 proficiency
Ability to work independently and on a team
Preferred Qualifications
Strong understanding of billing workflows
Knowledge of ICD-10, CPT, HCPCS
Medicare billing knowledge
Experience reviewing payer contracts
Familiarity with reimbursement guidelines
Experience with HCN360 or CPR+
About Evernorth and CarepathRx
As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our teams are ambitious, compassionate experts who partner with hospitals and health systems to advance specialty pharmacy and infusion services. Everything we do is centered on improving patient outcomes—together.
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.For this position, we anticipate offering an hourly rate of
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