Medical Collections Specialist, Home Infusion

The Cigna Group

Medical Collections Specialist at CarepathRx handling insurance claims and reimbursements. Supporting patient care through proficient medical collections in a remote work setting.

Posted 7/30/2026full-timeRemote • Florida, Pennsylvania • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical collections, billing, and revenue cycle management, with a strong focus on insurance claims, denials, and appeals. Proficient in communication and problem-solving, ensuring timely resolution of accounts while maintaining confidentiality and accuracy.

Highest-signal resume keywords

Medical Collections ExperienceInsurance Claims ManagementRevenue Cycle KnowledgeAttention To DetailCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical BillingClaims Denial ResearchPayer Appeals SubmissionAccount ResolutionBasic Math Calculations

Soft Skills

Communication SkillsOrganization SkillsProblem-Solving Skills

Tools & Technologies

AR Aging ReportsOver/Under Reports

Industry Keywords

Healthcare AdministrationThird-Party Payer GuidelinesReimbursement PracticesExplanation Of Benefits (EOB)

About the role

Key responsibilities & impact

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.
Investigate claims and payer contracts to confirm payment accuracy and identify reimbursement gaps, with attention to home infusion billing requirements when applicable.
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.
Track account trends and share insights that support process improvements, stronger collections, and better revenue cycle results.
Meet quality, productivity, and service standards while working independently and as part of a collaborative team.

Requirements

What you’ll need

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 attention to detail and ability to manage multiple priorities in a fast-paced environment.
Ability to communicate clearly by phone, email, and written correspondence with patients, payers, and internal partners.
Strong customer service, communication, organization, and problem-solving skills.
Ability to handle sensitive information with care, discretion, and confidentiality.
Ability to perform basic math calculations and review account data accurately.

Benefits

Comp & perks

Drug-free work environment.