Collections Specialist
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Remote • Alabama, Alaska, Arizona, Florida, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Missouri, New York, Ohio, Pennsylvania, Texas, Utah, Vermont, Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $18 - $25 per hour
Job Level
Junior
About the role
- Manage third-party billing and collections, ensuring timely and accurate processing of claims and appeals.
- Investigate denials and rejections to identify root causes and recommend actions that prevent repeat issues.
- Review claim processing to confirm proper payment and pursue corrective steps when discrepancies arise.
- Process payer appeal requests within required timeframes and track outcomes.
- Contact payers or patients, as appropriate, to resolve outstanding issues.
- Document all collections activity in patient notes and accounts receivable reports.
- Evaluate payer guidelines to determine whether claims should be corrected, refiled, or appealed.
- Interpret EOBs to validate payment accuracy and guide next steps.
- Identify and correct claim errors to support full reimbursement.
- Support continuous improvement by identifying workflow enhancements that strengthen financial performance.
Requirements
- High school diploma or equivalent
- Minimum 1+ years of experience in collections, medical billing, or revenue cycle operations
- Ability to read and interpret EOBs and understand payer reimbursement practices
- Strong communication, organizational, and problem-solving skills
- Proficiency with Microsoft 365
- Experience with ICD-10, CPT-4, HCPCS, and Medicare billing (preferred)
- Knowledge of home infusion, reimbursement guidelines, and third-party payer rules (preferred)
- Familiarity with HCN360, CPR+, or similar systems (preferred)
Benefits
- Medical
- Vision
- Dental
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingcollectionsrevenue cycle operationsEOB interpretationICD-10CPT-4HCPCSMedicare billingclaim processingpayer reimbursement practices
Soft skills
communicationorganizationalproblem-solving