Billing & Reimbursement Senior Representative - Whitestown, Indiana, USA

Cigna Healthcare • Indiana Work at Home, IN

1d • Hybrid

About The Position

The Billing & Reimbursement Senior Representative supports the Accounts Receivable team for Accredo, The Cigna Group’s Specialty Pharmacy. The role uses advanced knowledge to prepare and review claims approaching timely filing, ensure billing accuracy, edit and submit bills, and collect payments on outstanding claims to reduce accounts receivable. The successful candidate understands billing and collection processes and can complete routine work with little supervision.

This position is mainly remote/work from home, but the employee must live within driving distance of the Whitestown, Indiana office and attend in-person training and meetings as needed. The schedule is Monday through Friday for an eight-hour shift, with flexibility to start between 6 a.m. and 9 a.m. EST. Remote work requires cable broadband or fiber internet with speeds of at least 10 Mbps download and 5 Mbps upload.

Requirements

• Must be local to Whitestown, Indiana, and willing and able to attend onsite training and meetings as needed.
• Must be able to work an eight-hour shift Monday through Friday, with flexibility to start between 6 a.m. and 9 a.m. EST.
• High school diploma or GED.
• PC skills, including Microsoft Outlook, Excel, and Word.
• Strong written and verbal communication skills.
• Strong critical-thinking and investigative skills.
• Detail-oriented, with strong organizational skills.
• Self-starter and team player.
• Focus on quality and service.
• Ability to meet multiple deadlines and manage a heavy workload.
• Integrity in handling sensitive or confidential information.
• For work at home, internet service must be cable broadband or fiber optic with at least 10 Mbps download and 5 Mbps upload.

Nice To Haves

• Experience and knowledge in the healthcare, insurance, or pharmacy industry.
• Collections, billing, reimbursement, or payment-processing experience.

Responsibilities

• Prepare and review claims for billing accuracy according to payer requirements, including codes, modifiers, pricing, dates, and authorizations.
• Pursue collection activities to obtain reimbursement from patients and/or payers.
• Contact payers to request overrides, retroactive authorizations, additional documentation, or window extensions, and to resolve rejected or denied claims.
• Follow up frequently with payers and/or patients regarding outstanding accounts.
• Respond to billing inquiries and questions related to patient accounts.
• Assist with special projects as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED