Medical Collections Specialist, Home Infusion

🔥 0 minutes ago

🐊 Florida, Pennsylvania – Remote

🐊 Florida – Remote 🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

📞 Collections

🚫👨‍🎓 No degree required

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

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

• Support strong reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution. • Research denials, rejections, and payment issues to find root causes and recommend steps that help prevent repeat problems. • Submit payer appeals within required time frames and use clear documentation to support accurate claim review. • Review patient account details, claim status, and explanations of benefits to decide the best next action, such as correction, refiling, adjustment, or appeal. • Communicate with patients, payers, outside agencies, and internal partners in a professional, helpful, and timely manner. • Document collection activity, account actions, and outcomes in patient notes, AR Aging Reports, and Over/Under Reports.

🎯 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. • Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.

🏖️ Benefits

• Health insurance • 401(k) retirement plans • Paid time off • Flexible work arrangements