Financial Assistance Specialist- Evernorth

CignaJacksonville, FL
10d$18 - $25Remote

About The Position

As a Financial Assistance Specialist, you will help patients access the financial resources they need by coordinating copay and foundation assistance programs, supporting reimbursement activities, and resolving billing‑related issues. You will play a key role in ensuring accurate claims processing, maintaining compliant documentation, and delivering a positive, solution‑focused experience for patients, payers, and internal teams.

Requirements

  • High school diploma or GED.
  • One to three years of experience in medical billing, collections, or related healthcare financial roles.
  • Proficiency with Microsoft Office and ability to interpret billing codes and documentation.
  • Experience processing pharmacy claims.
  • Strong communication, customer service, and problem‑solving skills.
  • Ability to manage multiple tasks with strong attention to detail and accuracy.

Nice To Haves

  • Knowledge of copay and foundation assistance programs.
  • Understanding of insurance reimbursement, benefits, and payer guidelines.
  • Familiarity with ICD‑9, CPT‑4, HCPCS, and medical terminology.
  • Experience using systems such as HCN360 or CPR+.
  • Prior experience in home infusion billing or revenue cycle operations.

Responsibilities

  • Identify billing trends and proactively address issues to support timely reimbursement.
  • Review and correct claims, reprocess submissions, and interpret EOBs to understand denials.
  • Communicate with payers, patients, and external partners as needed.
  • Document all collections activity in patient records and maintain accurate notes in aging and reconciliation reports.
  • Process payer appeals within required timeframes and ensure billing accuracy.
  • Investigate claim discrepancies and review reimbursement contracts to support resolution.
  • Meet quality, productivity, and compliance standards as defined by leadership.
  • Process approved adjustments, home infusion/nursing claims, patient updates, and insurance changes.
  • Review unpaid claims, identify root causes, and determine next steps such as refiling or appeals.
  • Support copay and foundation program enrollment and maintain updated financial assistance documentation.
  • Maintain confidentiality and professionalism when handling patient financial information.
  • Perform additional duties as assigned to support revenue cycle operations.

Benefits

  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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