Collections Specialist, Home Infusion- Evernorth- Remote
About The Position
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. 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.
Requirements
- 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
Nice To Haves
- 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+
Responsibilities
- 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
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Annual bonus plan
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
