Healthcare Collections Lead - Evernorth - Remote

Cigna HealthcareFlorida Work at Home, FL
Remote

About The Position

CarepathRx is seeking a Healthcare Collections Lead to support our Revenue Cycle team. This role is responsible for overseeing collection activities, resolving outstanding accounts, supporting staff training, and serving as a subject matter expert for billing and payer-related issues.

Requirements

  • Proficiency with Microsoft Office applications.
  • Strong communication, customer service, organizational, and problem-solving skills.
  • Ability to manage multiple priorities while maintaining attention to detail.
  • Must be eligible to work in this country.
  • 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

  • Associate degree preferred.
  • Experience in medical collections, revenue cycle, or medical billing preferred.
  • Knowledge of ICD-10, HCPCS, medical terminology, third-party payer guidelines, and reimbursement practices preferred.

Responsibilities

  • Manage insurance and patient account collections to ensure timely and accurate payments.
  • Review and resolve outstanding balances, denials, and unpaid accounts.
  • Monitor high-dollar accounts and identify trends impacting revenue cycle performance.
  • Assist with account reconciliations, adjustments, and batch posting activities.
  • Serve as a subject matter expert and provide guidance to collection staff.
  • Train and support new and existing team members.
  • Collaborate with billing, operations, and leadership teams to meet departmental goals.
  • Lead special projects and ensure timely completion of assigned initiatives.
  • Respond to patient, payer, and internal billing inquiries.

Benefits

  • Equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking to employment.
  • Drug-free work environment.
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