Collections Specialist

divh2Collections Specialist/h2pJoin a team where your work truly matters. As a Collections Specialist, you will play a key role in supporting financial health for our patients and organization. You will be responsible for managing Self-Pay Collections, ensuring timely and accurate payment of claims, handling in-bound patient calls, and reviewing co-pay assistance claims. The ideal candidate will have strong customer service skills, communication and critical thinking skills and experience working in a fast-paced environment. This role involves investigating accuracy and account review with the goal of resolving discrepancies and maximizing reimbursement. Prior knowledge of home infusion, medical billing practices, and payer reimbursement guidelines is preferred. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Experience with ICD-10, CPT-4, HCPCS, and medical terminology is preferred./ppSupport accurate and timely billing and collections to reduce outstanding balances/ppManage assigned book of business: Transfer of balance due, charging of patient ACH and Credit Card and one-time credit cards for copay assistance payments, and contractual adjustments requests of accounts./ppContacting patients or payers as appropriate./ppReview accounts with patients and resolve questions or transfer to appropriate staff member. Inbound and outbound call volumes may vary throughout the month./ppPartner with copay assistance programs and internal teams to resolve payment and billing issues./ppReview claim processing to determine proper payment has been issued./ppAccurately identify adjustments needed and take proper action to prevent further adjustments./ppIdentify trends or payment challenges and take action to support resolution and prevent future issues./ppReview and analyze reports to track account activity and highlight opportunities for improvement./ppEnsure all work meets quality assurance and benchmark standards set by the management team./ppWork independently and as part of a team./ppDocuments all collections activity in patient collections notes and AR Reports./ppReview patient unapplied account and verify accuracy of payment prior to posting to the correct open account receivable./ppRequired:/ppHigh school diploma or equivalent./ppKnowledge of Microsoft 365 products, including but not limited to Outlook, Teams, and Excel./ppMinimum of 12 years of experience in billing, collections, or related field./ppExcellent interpersonal, organizational, communication and effective critical thinking skills./ppStrong customer service./ppMaintain confidentiality and practice discretion and caution when handling sensitive information./ppAbility to read and interpret an EOB for accurate understanding of claim processing./ppPreferred:/ppHCN360 and CPR+ knowledge./ppExperience with ICD-10, CPT-4, HCPCS, and medical terminology./ppFamiliarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due./ppPrior knowledge of home infusion./ppIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload./ppAbout The Cigna Group/ppDoing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, were dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives./ppQualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws./ppIf you need a reasonable accommodation to complete the online application process, please email View email address on click.appcast.io for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes./ppThe Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State./ppQualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances./p/div