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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 processing, with a strong focus on reimbursement accuracy and denial resolution. Proficient in analyzing accounts receivable and collaborating with payers and patients to optimize payment workflows.
Highest-signal resume keywords
Medical Billing ExperienceICD-10 KnowledgeCPT KnowledgeClaims ReviewMicrosoft 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
Billing WorkflowsClaims ProcessingDenial ResolutionAccounts Receivable AnalysisEOB InterpretationPayer Appeals SubmissionReimbursement GuidelinesPayment OptimizationHome Infusion BillingSpecialty Pharmacy Billing
Soft Skills
Customer Service SkillsProblem-Solving SkillsCritical Thinking SkillsClear Communication SkillsAttention to Detail
Tools & Technologies
HCN360CPR+Cable BroadbandFiber Optic Internet
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Medicare BillingPayer ContractsReimbursement ProcessesClaims DenialsPayment Delays
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 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 preferred
- Knowledge of ICD-10, CPT, and HCPCS preferred
- Medicare billing knowledge preferred
- Experience reviewing payer contracts preferred
- Familiarity with reimbursement guidelines preferred
- Experience with HCN360 or CPR+ preferred
- For home-based work, cable broadband or fiber optic internet with at least 10 Mbps download/5 Mbps upload
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- 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