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Collections Specialist, Specialty
The Cigna Group. Drive timely and accurate reimbursement through billing and collections .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and claims management, with a strong understanding of ICD-10, CPT, and HCPCS coding. Proven ability to analyze accounts receivable, resolve denials, and improve reimbursement processes while maintaining high attention to detail and effective communication.
Highest-signal resume keywords
Medical Billing ExperienceICD-10, CPT, HCPCS KnowledgeCustomer Service SkillsProblem-Solving SkillsMicrosoft 365 Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaims ManagementAccounts Receivable AnalysisDenial ResolutionPayer Appeals SubmissionReimbursement GuidelinesBilling WorkflowsEOB InterpretationClaims ReviewPayment Optimization
Soft Skills
Attention to DetailClear CommunicationCritical ThinkingTeam CollaborationIndependent Work
Tools & Technologies
HCN360CPR+Microsoft 365
Industry Keywords
Home InfusionSpecialty PharmacyMedicare BillingPayer ContractsReimbursement Processes
About the role
Key responsibilities & impact- 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
What you’ll need- High school diploma or GED
- 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
- 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
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work arrangement
- Cable broadband or fiber optic internet requirement for home working