Collections Specialist- Evernorth- Remote

The Cigna Group
$18 - $26Remote

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. Hours: Monday-Friday, 8:00am- 4:30pm or 8:30am-5:00pm ET

Requirements

  • High school diploma or equivalent
  • 1+ years of experience in a clerical/administrative/customer service role
  • 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
  • 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

  • 2+ years of medical billing or collections experience
  • Strong understanding of billing workflows
  • Experience in home infusion or specialty pharmacy
  • 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
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