Collections Specialist, Specialty

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• 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 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

🎯 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 • Strong understanding of billing workflows preferred • Knowledge of ICD-10, CPT, and HCPCS preferred • Medicare billing knowledge preferred • Experience reviewing payer contracts preferred • Familiarity with reimbursement guidelines preferred • Experience with HCN360 or CPR+ preferred • For home-based work, cable broadband or fiber optic internet with at least 10 Mbps download/5 Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence

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