[Hiring] Collections Specialist @The Cigna Group

Role Description

The job profile for this position is Enrollment/Billing Representative, which is a Band 1 Professional Career Track Role. As a Collections Specialist, you will improve reimbursement outcomes, resolve billing challenges, and strengthen patient accounts. Your work helps ensure accurate claims, faster payments, and better access to care. We value curiosity, teamwork, and continuous growth.

Hours: Monday-Friday, 8:00am-4:30pm or 8:30am-5:00pm ET

Responsibilities (What You’ll Achieve)

• Drive timely and accurate reimbursement through billing and collections
• Investigate denials, identify root causes, and resolve issues
• Submit payer appeals within deadlines and improve approval rates
• Analyze accounts receivable and reduce payment delays
• Partner with payers, patients, and teams to resolve balances
• Document all activities, adjustments, and updates clearly
• Review claims to confirm correct reimbursement
• Correct and reprocess claims to optimize payment
• Interpret EOBs to guide next steps
• Improve processes to reduce denials
• Meet quality and productivity goals

Qualifications

• High school diploma or GED
• 1+ years of experience with home infusion or specialty pharmacy medical billing/claims
• Strong customer service skills
• Problem-solving and critical thinking skills
• Clear communication skills
• Strong attention to detail
• Microsoft 365 proficiency
• Ability to work independently and on a team

Requirements

• Strong understanding of billing workflows
• Knowledge of ICD-10, CPT, HCPCS
• Medicare billing knowledge
• Experience reviewing payer contracts
• Familiarity with reimbursement guidelines
• Experience with HCN360 or CPR+

Benefits

• Hourly rate of 17 - 26 USD, depending on relevant factors, including experience and geographic location
• Eligible to participate in an annual bonus plan
• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k) plan
• Company paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays and leaves of absence