Billing Specialist - Evernorth - Remote

Responsibilities Ensure timely and accurate submission of medical and NCPDP claims to maximize reimbursement Research and resolve claim rejections by finding root causes and taking action Review billing trends to reduce errors and improve performance Keep patient and insurance information current to support clean claims Work with payors, patients, and internal teams to resolve billing issues Support home infusion and nursing billing with strong quality and accuracy Meet productivity and quality goals set by leadership Share ideas and support process improvements Required Qualifications 1+ years of experience in medical billing, collections, or related role High school diploma or GED Knowledge of insurance billing and reimbursement processes Strong communication skills across phone, written, and digital channels Ability to manage multiple tasks with attention to detail Basic math skills for calculations Proficiency in Microsoft 365 Ability to work independently and on a team Preferred Qualifications Experience with home infusion or specialty pharmacy billing Knowledge of ICD-10, CPT-4, HCPCS, and medical terms Medicare billing knowledge, including DMEMAC Experience with CPR+ or HCN 360 systems Healthcare administrative or record management experience Strong customer service skills with a patient focus Benefits For this position, we anticipate offering an hourly rate of USD $17.75–$26 per hour, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. You will be offered a comprehensive range of benefits, including medical, vision, dental, well-being and behavioral health programs, a 401(k) plan, company-paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. Working Conditions If you will be working at home, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10 Mbps download/5 Mbps upload. Equal Opportunity Employer Qualified 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. If you need a reasonable accommodation to complete the online application process, please email View email address on click.appcast.io for assistance. The 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. #J-18808-Ljbffr Cigna Health and Life Insurance Company