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 healthcare work better for patients and providers. 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
- 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
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
- Microsoft 365 proficiency
- Ability to work independently and on a team
Nice-to-haves
- 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
- Medical
- Vision
- 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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