Medical Collections Specialist, Home Infusion
Location
Florida + 1 moreAll locations: Florida | Pennsylvania
Posted
2 days ago
Salary
0
Seniority
Junior
Job Description
Medical Collections Specialist, Home Infusion
The Cigna Group
• Support strong reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution. • Research denials, rejections, and payment issues to find root causes and recommend steps that help prevent repeat problems. • Submit payer appeals within required time frames and use clear documentation to support accurate claim review. • Review patient account details, claim status, and explanations of benefits to decide the best next action, such as correction, refiling, adjustment, or appeal. • Communicate with patients, payers, outside agencies, and internal partners in a professional, helpful, and timely manner. • Document collection activity, account actions, and outcomes in patient notes, AR Aging Reports, and Over/Under Reports.
Job Requirements
- High school diploma or GED.
- 1+ year of experience in medical collections, medical billing, revenue cycle, healthcare administration, or a related role.
- Experience working with insurance claims, denials, appeals, payer follow-up, or account resolution.
- Ability to read and interpret an explanation of benefits (EOB) and understand claim payment or denial activity.
- Knowledge of insurance policies, third-party payer guidelines, and reimbursement practices.
- Strong customer service, communication, organization, and problem-solving skills.
- Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.
Benefits
- Health insurance
- 401(k) retirement plans
- Paid time off
- Flexible work arrangements
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