Medical Collections Specialist, Home Infusion - Evernorth - Remote
The Cigna Group · Posted Nov 13, 2026
- Remote, United States
- Remote
- Full-time
- 1+ years
Support strong reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution.
Responsibilities
- 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.
Requirements
- High school diploma or GED
- Associate or bachelor's degree in healthcare administration, business, finance, or a related field
- Nice to have: home infusion billing
- Nice to have: home infusion collections
- Nice to have: specialty pharmacy