Billing Specialist - Evernorth - Remote

Cigna Healthcare•Pennsylvania Work at Home, PA

2d•$18 - $26•Remote

About The Position

Billing Specialist – Enrollment & Billing Representative Bring Clarity to Care Through Accurate Billing Join Evernorth Health Services and CarepathRx, where we’re transforming specialty pharmacy and infusion care. As a Billing Specialist, you help ensure patients receive the benefits they need without delay. You use your billing skills, problem solving, and attention to detail to improve reimbursement and support a better patient experience. We are looking for someone who is curious, driven, and ready to grow with a team that values both excellence and compassion.

Requirements

1+ years of experience in medical billing, collections, or related role
High school diploma or GED
Knowledge of insurance billing and reimbursement processes
Strong communication skills across phone, written, and digital channels
Ability to manage multiple tasks with attention to detail
Basic math skills for calculations
Proficiency in Microsoft 365
Ability to work independently and on a team

Nice To Haves

Experience with home infusion or specialty pharmacy billing
Knowledge of ICD-10, CPT-4, HCPCS, and medical terms
Medicare billing knowledge, including DMEMAC
Experience with CPR+ or HCN 360 systems
Healthcare administrative or record management experience
Strong customer service skills with a patient focus

Responsibilities

Ensure timely and accurate submission of medical and NCPDP claims to maximize reimbursement
Research and resolve claim rejections by finding root causes and taking action
Review billing trends to reduce errors and improve performance
Keep patient and insurance information current to support clean claims
Work with payors, patients, and internal teams to resolve billing issues
Support home infusion and nursing billing with strong quality and accuracy
Meet productivity and quality goals set by leadership
Share ideas and support process improvements