Payment Specialist- Enrollment/Billing Representative

Job Summary:

The Payment Specialist will analyze, post, balance, and report payments for designated entities and payers to the appropriate billing system(s). The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Experience with cash experience, posting payments, and experience reading EOB’s (Explanation of Benefits) is preferred.

Essential Duties & Responsibilities:

• Manage assigned book of business posting payments, completing transfers, correction adjustments and refunds as needed.

• Post payments once batch balances.

• Record daily cash posting to log.

• Balance daily to cash sheet.

Knowledge, Skills & Abilities:

• Strong customer service and interpersonal skills

• Effective written and verbal communication

• Excellent organization, problem solving skills and attention to detail

• Meet the quality assurance and benchmark standards set by the management team

• Knowledge of patient accounting systems, third party billing and collections guidelines

• Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence.

Requirements:

• High School diploma or GED

• Cash experience, posting payments, and reading EOB’s is required.

• Collections or medical billing experience with an understanding of ICD9, CPT4, HCPCS and medical terminology is preferred.

• Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred.

• Proficiency in Microsoft Office Suite required.

• Experience with Script Med a plus.

As part of Evernorth Health Services, this role supports Carepath Rx within our Pharmacy and Care Delivery organization. Our team focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About The Cigna Group:

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: See Yourself@cigna.com for support. Do not email See Yourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.