This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description In this role, you will play an important part in ensuring timely, compliant, and accurate billing and reimbursement. Key responsibilities include: - Follow VitalCaring billing Standard Operating Procedures and regulatory billing guidelines - Collaborate with your supervisor and the billing team to address payor and billing concerns - Ensure documentation accuracy and submit claims in accordance with Medicare and other payor requirements - Serve as a key liaison to Branch Directors and administrative staff to gather information needed for claims - Meet individual productivity standards and maintain confidentiality of financial information - Manage workflow tasks and documentation in our EMR system - Upload payor communication documents and input billing Coordination Notes to support team communication - Participate in learning and development to continue growing professionally - Represent VitalCaring with integrity, positivity, and alignment to our mission - Maintain compliance with federal, state, and ethical billing regulations - Perform additional duties as assigned Qualifications - At least one year of office experience, preferably in healthcare or home health - High school diploma or equivalent - Ability to manage confidential information with professionalism - Strong attention to detail and a proactive, solutions-oriented mindset - Reliable transportation Benefits - Medical, Dental & Vision - Pharmacy Benefits - Virtual & Mental Health Support - Flexible Spending Accounts (FSAs) & Health Savings Account (HSA) - Supplemental Health & Life Insurance - 401(k) with Company Match - Employee Referral Program - Prepaid Legal Plans - Identity Theft Protection - Paid Time Off - Pet Insurance - Tuition & Continuing Education Reimbursement

The job profile for this position is Enrollment/Billing Associate Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Enrollment/Billing Associate Representative-Evernorth (CarePathRx) Position Overview Are you energized by helping patients understand their healthcare journey and feel confident about next steps? As an Enrollment/Billing Associate Representative, you play a vital role in creating a clear, compassionate, and seamless experience for patients receiving specialty pharmacy and infusion services. As part of Evernorth Health Services, this role supports CarePathRx, a leader in specialty pharmacy and infusion services working alongside hospitals and health systems. Our team is ambitious, patient-focused, and deeply committed to delivering care with empathy and expertise. Schedule: Monday–Friday, 9:30 AM–6:00 PM EST Key Responsibilities Deliver a positive patient experience by clearly explaining financial responsibility, insurance benefits, and next steps with empathy and professionalism Proactively contact patients to review coverage details and securely obtain payment information when applicable Create accurate and timely patient financial responsibility letters based on documented insurance benefits Review patient accounts to identify enrollment needs and initiate appropriate outreach Enter and update patient demographic and referral information to support timely care delivery Communicate patient updates effectively to internal partners to ensure alignment and continuity Prioritize work thoughtfully to meet service expectations while maintaining high accuracy and quality Required Qualifications High school diploma or GED Minimum 1 year of customer service experience, preferably in a healthcare, billing, insurance, or patient-facing environment Strong verbal and written communication skills with the ability to explain information clearly and compassionately Proficiency with computers and Microsoft Office applications Ability to organize tasks, manage time effectively, and adapt in a fast-paced environment Preferred Qualifications Experience with insurance verification, billing, or enrollment processes Familiarity with medical terminology Previous experience supporting specialty pharmacy, infusion services, or healthcare operations If 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. For this position, we anticipate offering an hourly rate of 17 - 24 USD / hourly, 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 The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. 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.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description A Premium Billing Reconciliation Specialist performs a wide range of accounting and analytical functions related to reconciling individual and group premium payments for Life, Supplemental and Disability insurance policies. This is not a traditional billing or accounts receivable role compromised of sending invoices and matching payments. Every insurance premium payment presents a new puzzle and requires a high level of analytical and reconciliation skills to solve it. A Premium Billing Reconciliation Specialist I will: - Reconcile and process premium billings and balances daily reports. - Maintain and research premium suspense. - Generate premium refunds and correspondence. - Perform member and group terminations. - Perform member level reconciliations. Essentials Duties: - Analyze, process and accurately reconcile and post group payments in a timely manner. - Analyze and research suspense on the groups to ensure premiums are posted correctly. - Complete payment audits for groups in MS Excel. - Achieve acceptable quality and productivity benchmarks by multi-tasking in high volume environment on a daily basis. - Have excellent written communication skills, strong product knowledge and procedure expertise. - Work collaboratively with internal customers to meet established departmental service level goals. - May perform other duties as assigned based on department needs. Qualifications - High School Diploma or Equivalent. - 2-4 years working in general accounting with understanding of related concepts and practices. - Experience in a role requiring heavy research and reconciliation. Requirements - Ability to perform complex reconciliation and administrative research in servicing system. - Ability to analyze financial premium data and communicate results. - Outstanding research and reconciliation skills. - 10-key skills. - Intermediate MS Excel skills to include spreadsheet formatting, formulas, pivot tables, and VLOOKUPs. - Excellent verbal and written communication skills and ability to compose professional correspondence. - Excellent analytical and critical thinking skills. - Ability to maintain attention to detail. - Ability to maintain a low error rate. - Ability to prioritize, multi-task, and meet tight deadlines. - Ability to handle confidential information. Benefits - A culture that values employees and celebrates, empowers, and inspires a diverse workforce. - Outstanding comprehensive benefits package. - PTO provided at date of hire. - 11 paid holidays. - 401(k) with up to 6% match; fully vested from day 1. - Remote opportunities with company-provided equipment. - Team-oriented, collaborative group of peers. - Career advancement opportunities. - Tuition Reimbursement. - Employee Assistance Program. - Inclusion Council and Employee Resource Groups. - Recharge Days and Volunteer Time Off.

• Deliver a positive patient experience by clearly explaining financial responsibility, insurance benefits, and next steps with empathy and professionalism • Proactively contact patients to review coverage details and securely obtain payment information when applicable • Create accurate and timely patient financial responsibility letters based on documented insurance benefits • Review patient accounts to identify enrollment needs and initiate appropriate outreach • Enter and update patient demographic and referral information to support timely care delivery • Communicate patient updates effectively to internal partners to ensure alignment and continuity • Prioritize work thoughtfully to meet service expectations while maintaining high accuracy and quality