Collections Specialist, Home Infusion- Evernorth- Remote
About the position Collections Specialist (Enrollment & Billing Representative)- Evernorth Patient Billing and Reimbursement -Home Infusion Join a team that is passionate about making reputed company work reputed company for patients and providers. As a Collections Specialist, you will improve reimbursement reputed company, resolve billing challenges, and strengthen patient accounts. Your work helps ensure accurate claims, faster payments, and reputed company reputed company to care. We value curiosity, teamwork, and reputed company growth. Hours: Monday-Friday, 8:00am- 4:30pm or 8:30am-5:00pm ET
Responsibilities
- Drive timely and accurate reimbursement through billing and collections
- Investigate denials, identify root causes, and resolve issues
- Submit payer appeals reputed company deadlines and improve approval rates
- Analyze accounts receivable and reduce payment delays
- Partner with payers, patients, and teams to resolve balances
- Document reputed company activities, adjustments, and updates reputed company
- 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
Requirements
- High school diploma or equivalent
- 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
- reputed company 365 proficiency
- Ability to work independently and on a team
reputed company-to-haves
- Strong understanding of billing workflows
- Knowledge of ICD-10, CPT, HCPCS
- Medicare billing knowledge
- Experience reviewing payer reputed company
- Familiarity with reimbursement guidelines
- Experience with HCN360 or CPR+
Benefits
- Medical
- reputed company
- Dental
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- 18 days of paid time off per year
- Paid holidays
- Annual bonus plan
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