Medical Collections Specialist, Home Infusion

Job not on LinkedIn

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

📞 Collections

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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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

• Collect on insurance claims and move unpaid accounts toward timely resolution • Research denials, rejections, and payment issues to identify root causes and recommend preventive actions • Submit payer appeals within required time frames with clear supporting documentation • Review patient account details, claim status, and explanations of benefits to determine corrections, refiling, adjustments, or appeals • Investigate claims and payer contracts to confirm payment accuracy and identify reimbursement gaps • Communicate with patients, payers, outside agencies, and internal partners • Document collection activity, account actions, and outcomes in patient notes, AR Aging Reports, and Over/Under Reports • Track account trends and share process improvement insights • Meet quality, productivity, and service standards independently and collaboratively

🎯 Requirements

• High school diploma or GED • 1+ year of experience in medical collections, medical billing, revenue cycle, healthcare administration, or a related role • Experience working with insurance claims, denials, appeals, payer follow-up, or account resolution • Ability to read and interpret an explanation of benefits (EOB) and understand claim payment or denial activity • Knowledge of insurance policies, third-party payer guidelines, and reimbursement practices • Strong customer service, communication, organization, and problem-solving skills • Ability to communicate clearly by phone, email, and written correspondence with patients, payers, and internal partners • Strong attention to detail and ability to manage multiple priorities in a fast-paced environment • Ability to handle sensitive information with care, discretion, and confidentiality • Ability to perform basic math calculations and review account data accurately • Must be eligible to work in this country • For home-based work: cable broadband or fiber optic internet service with at least 10 Mbps download/5 Mbps upload

🏖️ Benefits

• Remote work opportunity • Monday-Friday schedule, 8:00 a.m.-4:30 p.m. ET • Equal employment opportunity • Reasonable accommodation support for the online application process • Tobacco-free workplace policy • Drug-free work environment

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