LogoFresh Jobs Ahead
The Cigna Group
The Cigna Group
HealthcareInsurance
The Cigna Group is a global healthcare and insurance company serving individuals, families, employers, brokers, providers, and Medicare beneficiaries. Its offerings span medical, dental, pharmacy, behavioral health, supplemental coverage, employer-sponsored plans, individual and family insurance, Medicare, and international health insurance across more than 200 countries. The company also provides digital member services through myCigna, including telehealth and claims management, with products delivered through operating subsidiaries and regional affiliates.
LinkedIn
Company Jobs

Senior Enrollment and Billing Representative, Home Infusion (Remote - Pennsylvania)

Senior representative responsible for pharmacy claims, collections, appeals, and reimbursement follow-up across Evernorth’s specialty pharmacy and home infusion services. The role manages accounts receivable and payer activity to support accurate payment resolution.

USUnited StatesPAPennsylvania
$20 – $30 / hour
RemoteFull-timeSeniorEnglish RequiredBilling Specialist

Description

  • Manage pharmacy claim billing, collections, and follow-up to support timely and accurate reimbursement
  • Investigate denied, rejected, and underpaid claims and apply appropriate corrective action
  • Review explanations of benefits (EOBs) to confirm reimbursement accuracy and determine required next steps
  • Track accounts receivable and address outstanding balances through payer and patient outreach
  • Prepare, submit, and monitor payer appeals within established deadlines
  • Assess payer requirements and reimbursement policies to decide whether claims require correction, refiling, or appeal
  • Find and correct billing and submission errors that affect reimbursement
  • Record collection activity in patient notes and designated reporting systems
  • Work with colleagues and leaders to improve workflows, efficiency, compliance, and financial results
  • Provide support for CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization

Requirements

  • High school diploma or GED
  • At least two years of experience in collections, accounts receivable, medical billing, healthcare claims, pharmacy billing, or insurance collections
  • Working knowledge of reimbursement processes for commercial, Medicare, Medicaid, self-pay, and third-party plans
  • Ability to interpret explanations of benefits (EOBs) and billing correspondence
  • Strong communication, organizational, and problem-solving abilities with a customer-focused approach
  • Proficiency with Microsoft 365 and electronic health record or billing systems
  • Preferred: Two or more years of experience in revenue cycle operations, pharmacy billing, or collections
  • Preferred: Experience with ICD-10, CPT, HCPCS, and Medicare billing guidelines
  • Preferred: Knowledge of pharmacy Part D claims, CE2000, home infusion billing, and third-party payer requirements
  • Preferred: Experience with HCN360, CPR+, or comparable billing platforms

Benefits

  • Eligibility for an annual bonus plan
  • Medical, vision, and dental coverage beginning on the first day
  • Well-being and behavioral health programs
  • 401(k) plan
  • Company-paid life insurance
  • Tuition reimbursement
  • At least 18 days of paid time off each year
  • Paid holidays
  • Leaves of absence
  • Tobacco-free policy
  • Home internet requirement and support for occasional or permanent work from home

Related Jobs