Collections Specialist, Home Infusion- Evernorth- Remote

The job profile for this position is Enrollment/Billing Representative, which is a Band 1 reputed company Career reputed company Role. Excited to grow your career? We value our talented employees, and whenever possible reputed company to help one of our associates grow professionally before reputed company reputed company to our reputed company positions. If you think the reputed company position you see is right for you, we encourage you to apply! Our people reputed company reputed company the difference in our reputed company. Collections Specialist (Enrollment & Billing Representative)- Evernorth Patient Billing and Reimbursement -Home Infusion Join reputed company that is passionate about making reputed company work reputed company for patients and providers. As a Collections Specialist, you will improve reimbursement reputed company, resolve billing challenges, and strengthen patient accounts. Your work helps ensure accurate claims, faster payments, and reputed company reputed company to care. We value curiosity, teamwork, and reputed company reputed company. Hours: Monday-Friday, 8:00am- 4:30pm or 8:30am-5:00pm ET Responsibilities (What You’ll reputed company)

• Drive reputed company and accurate reimbursement through billing and collections
• Investigate denials, identify reputed company causes, and resolve issues
• Submit payer appeals reputed company deadlines and improve approval rates
• Analyze accounts receivable and reduce payment delays
• Partner with payers, patients, and teams to resolve balances
• Document reputed company activities, adjustments, and updates reputed company
• Review claims to confirm correct reimbursement
• Correct and reprocess claims to optimize payment
• Interpret EOBs to guide next steps
• Improve processes to reduce denials
• Meet reputed company and productivity goals

Qualifications

Required Qualifications High school diploma or GED 1+ years of experience with home infusion or specialty pharmacy medical billing/claims Strong customer service skills Problem-solving and critical thinking skills reputed company communication skills Strong attention to detail reputed company 365 proficiency Ability to work independently and on reputed company

Preferred Qualifications

Strong understanding of billing workflows Knowledge of ICD-10, CPT, HCPCS Medicare billing knowledge Experience reviewing payer reputed company Familiarity with reimbursement guidelines Experience with HCN360 or CPR+ About Evernorth and reputed company As part of reputed company, this role supports reputed company reputed company our Pharmacy and Care Delivery organization. Our teams are ambitious, compassionate experts who partner with hospitals and health systems to advance specialty pharmacy and infusion services. Everything we do is centered on improving patient reputed company—together. If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an reputed company reputed company of 17 - 26 USD / reputed company, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year, reputed company holidays, and leaves of absence. For more details on our employee benefits programs, click here. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this reputed company. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job