Collections Specialist- Evernorth

The Cigna Group

1d • $18 - $25

About The Position

As a vital member of our revenue operations team, you will play a key role in ensuring accurate claim processing, timely reimbursement, and a positive financial experience for patients and payers. You will investigate denials, resolve payment discrepancies, and strengthen collection practices that directly support our mission to deliver efficient, patient-centered financial services.

Requirements

• High school diploma or equivalent.
• Minimum 1+ years of experience in collections, medical billing, or revenue cycle operations.
• Ability to read and interpret EOBs and understand payer reimbursement practices.
• Strong communication, organizational, and problem-solving skills.
• Proficiency with Microsoft 365.
• 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.

Nice To Haves

• Experience with ICD-10, CPT-4, HCPCS, and Medicare billing.
• Knowledge of home infusion, reimbursement guidelines, and third-party payer rules.
• Familiarity with HCN360, CPR+, or similar systems.

Responsibilities

• Manage third-party billing and collections, ensuring timely and accurate processing of claims and appeals.
• Investigate denials and rejections to identify root causes and recommend actions that prevent repeat issues.
• Review claim processing to confirm proper payment and pursue corrective steps when discrepancies arise.
• Process payer appeal requests within required timeframes and track outcomes.
• Contact payers or patients, as appropriate, to resolve outstanding issues.
• Document all collections activity in patient notes and accounts receivable reports.
• Evaluate payer guidelines to determine whether claims should be corrected, refiled, or appealed.
• Interpret EOBs to validate payment accuracy and guide next steps.
• Identify and correct claim errors to support full reimbursement.
• Support continuous improvement by identifying workflow enhancements that strengthen financial performance.

Benefits

• At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

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