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The Cigna Group
The Cigna Group
Farmatsevtika mahsulotlariSog‘liqni saqlashTibbiy sug‘urta
The Cigna Group — Cigna Healthcare va Evernorth Health Services orqali faoliyat yurituvchi global sog‘liqni saqlash kompaniyasi. Uning faoliyati mijozlar, buyurtmachilar va bemorlarning salomatligi hamda farovonligini qo‘llab-quvvatlash uchun tibbiy xizmatlar, tibbiy sug‘urta va dorixona imtiyozlarini boshqarishni birlashtiradi. Kompaniya, shuningdek, axloqiy sog‘liqni saqlash va sun’iy intellekt amaliyotlariga, sog‘liqni saqlashdagi tenglikka, atrof-muhit va ijtimoiy mas’uliyatli boshqaruvga, shuningdek tibbiy yordamni ko‘rsatish usullaridagi innovatsiyalarga e’tibor qaratadi.
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Kompaniyadagi ish o‘rinlari

Senior Home Infusion Enrollment and Billing Representative

Manage pharmacy billing, collections, appeals, and reimbursement issues for home infusion services. Support specialty pharmacy operations while helping improve patients’ financial experience.

USAmerika Qo‘shma ShtatlariFLFloridaMOMissuriNCShimoliy KarolinaOHOgayoPAPensilvaniyaTNTennessiTXTexas
20 $ – 30 $ / soat
MasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaHisob-kitoblar bo‘yicha mutaxassis

Tavsif

  • Manage pharmacy claim billing, collections, and follow-up activities
  • Investigate denied, rejected, and underpaid claims, then apply appropriate corrective actions
  • Review explanations of benefits (EOBs) to confirm reimbursement accuracy and determine next steps
  • Monitor accounts receivable and pursue outstanding balances through payer and patient outreach
  • Prepare, submit, and track payer appeals within required deadlines
  • Assess payer rules and reimbursement guidelines to determine whether claims require correction, refiling, or appeal
  • Correct billing and claim-submission errors that affect reimbursement
  • Document collection activity promptly in patient records and reporting systems
  • Collaborate with colleagues and leaders to improve workflows, efficiency, compliance, and financial results
  • Support CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization in providing specialty pharmacy and infusion services

Talablar

  • 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 or billing systems
  • Experience in revenue cycle operations, pharmacy billing, or collections is preferred
  • Familiarity with ICD-10, CPT, HCPCS, and Medicare billing guidelines is preferred
  • Knowledge of pharmacy Part D claims, CE2000, home infusion billing, and third-party payer requirements is preferred
  • Experience with HCN360, CPR+, or comparable billing platforms is preferred
  • Home-based work requires cable broadband or fiber-optic internet with at least 10 Mbps download and 5 Mbps upload speeds

Imtiyozlar

  • 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 annually
  • Paid holidays
  • Leaves of absence
  • Remote work arrangement
  • Cable broadband or fiber-optic internet required for working from home

O‘xshash ish o‘rinlari

Ensemble Health Partners

Associate Practice Optimization Partner

Ensemble Health Partners
5 001 – 10 000 Xodimlar
KonsaltingLogistikaSug‘urta
USAmerika Qo‘shma ShtatlariOHOgayo
57 400 $ – 86 100 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaTalab Qilinadigan Til: inglizchaHamkorlik marketingiHamkorlik menejeri

Improve revenue cycle performance for physician practices by analyzing processes and recommending practical changes. The role also develops training and helps practice staff strengthen operations.

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Nuvei

Senior Remote Partnership Development Manager, United States

Nuvei
1 001 – 5 000 Xodimlar
Malakali ishchi vizasi homiysiElektron tijoratFintexO‘yinlar
USAmerika Qo‘shma ShtatlariMasofaviyTo‘liq stavkaSeniorYetakchiTalab Qilinadigan Til: inglizchaMenejer

Lead strategic partnerships at Nuvei, expanding merchant acquisition, partner revenue, and adoption of payment solutions. The role spans partner strategy, major deals, e-commerce expertise, and cross-functional collaboration.

Ochish