Collections Specialist II – Home Infusion

🔥 0 minutes ago

🐊 Florida, Ohio, +2 more states – Remote

🐊 Florida – Remote 🏈 Ohio – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Manage third-party billing and collections activities • Investigate and resolve claim denials, rejections, and underpayments • Submit payer appeals and monitor timely follow-up • Review claims, EOBs, and patient accounts to determine appropriate next steps • Correct and reprocess claims for reimbursement when necessary • Document collection efforts and actions taken on accounts • Communicate with payers, patients, and internal teams to resolve outstanding balances • Maintain quality, productivity, and compliance standards • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent • 3+ years of medical collections, billing, or healthcare revenue cycle experience • Knowledge of insurance reimbursement, claim processing, and payer guidelines • Understanding of ICD-10, CPT, HCPCS, and medical terminology preferred • Home infusion, Medicare, or DME billing experience preferred • Strong problem-solving, organizational, and communication skills • Ability to work independently, manage multiple priorities, and maintain attention to detail • Proficiency with Microsoft 365, including Outlook, Teams, and Excel • For home work, cable broadband or fiber optic internet service with at least 10Mbps download and 5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • 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