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Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Collections Specialist
Location
United States
Posted
20 days ago
Salary
$18 - $26 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Collections Specialist
The Cigna Group
Role Description Join 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 third-party billing and collections, ensuring timely and accurate payment of claims, and processing payer appeals. This role involves: - Investigating denials - Processing rejections - Identifying root causes of payment issues - Resolving discrepancies and maximizing reimbursement The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as effective communication and critical thinking skills. The position requires: - Attention to detail - The ability to work independently - Proficiency with Microsoft 365 - Experience with ICD-10, CPT-4, HCPCS, and Medicare billing (preferred) Hours: Monday-Friday, 8am-4:30pm ET Responsibilities - Identify root cause of issues and demonstrate recommendations for corrective action steps to eliminate future occurrences of denials. - Identify trends or payment challenges and take action to support resolution and prevent future issues. - Process all Payer appeal requests within the time limit required by the Payer. - Process rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer. - Review patient information in appropriate system to determine why the claim is unpaid, if an adjustment is valid, and whether additional approval is required. - Identify errors, correct claims, and reprocess for reimbursement. - Review claim processing to determine proper payment has been issued. - Accurately identify adjustments needed and take proper action to prevent further adjustments. - Submission of claims investigations and reviewing payer contracts for reimbursement. - Communication with patients, payors, outside agencies, and public through telephone, electronic and written correspondence. - Review and analyze reports to track account activity and highlight opportunities for improvement. - Ensure all work meets quality assurance and benchmark standards set by the management team. - Work independently and as part of a team. - Document all collections activity in patient collections notes and AR Reports. Qualifications - High school diploma or equivalent. - 1+ year of experience in home infusion medical and/or billing practices. - Knowledge of Microsoft 365 products, including but not limited to Outlook, Teams, and Excel. - Excellent interpersonal, organizational, communication and effective critical thinking skills. - Experience with ICD-10, CPT-4, HCPCS, and medical terminology. - Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due. - Maintain confidentiality and practice discretion and caution when handling sensitive information. - Ability to read and interpret an EOB for accurate understanding of claim processing. Preferred Qualifications - HCN360 and CPR+ knowledge. - Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due. Benefits - Hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. - Eligible to participate in an annual bonus plan. - Comprehensive range of benefits starting on day one, including medical, vision, dental, and well-being and behavioral health programs. - 401(k) and company paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays.
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Senior Collections Specialist
LHH - Lee Hecht HarrisonLHH - Lee Hecht Harrison is a management consulting company working to help organizations “see the possibilities in their people.” As an employer, LHH value
Senior Collections Specialist Location: Remote United States Accounting & Finance Contract to hire Job Description: We are seeking an experienced Remote Senior Collections Specialist to lead and manage complex collections activities across a diverse portfolio of customer accounts. This role is responsible for driving cash flow, reducing delinquency, and implementing effective collection strategies while maintaining strong customer relationships. The ideal candidate brings a strategic mindset, strong negotiation skills, and the ability to mentor junior team members. Key Responsibilities - Manage a portfolio of high-value or high-risk customer accounts and drive timely collection of outstanding balances - Analyze aging reports to prioritize collection efforts and reduce delinquency - Lead collection activities including outreach via phone, email, and written correspondence - Negotiate payment plans, settlements, and resolutions for delinquent accounts - Investigate and resolve billing discrepancies, disputes, and payment variances - Monitor credit risk and recommend account holds, escalations, or write-offs as needed - Prepare and maintain accurate customer records, collection notes, and reporting - Partner with internal teams (sales, accounting, customer service) to resolve account issues - Support month-end close by contributing reconciliations, reporting, and analysis - Develop and improve collection processes, policies, and performance metrics - Provide guidance and mentorship to junior collections staff and support team productivity - Collaborate with third-party collection agencies or legal teams on escalated accounts Qualifications - 4+ years of collections or accounts receivable experience, with exposure to complex or high-volume portfolios - Strong knowledge of collections strategies, aging analysis, and credit risk management - Proven ability to negotiate payment plans and resolve disputes effectively - Experience with ERP systems and advanced Excel skills (pivot tables, VLOOKUPs) - Excellent communication, organization, and problem-solving skills - Ability to manage multiple priorities in a fast-paced environment Preferred Experience - Experience leading or mentoring collections teams - Background in manufacturing, distribution, or B2B collections - Familiarity with credit policies, DSO metrics, and cash flow optimization Pay Details: $26.00 to $31.00 per hour Search managed by: Amaka Mozie Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: - The California Fair Chance Act - Los Angeles City Fair Chance Ordinance - Los Angeles County Fair Chance Ordinance for Employers - San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.




